1215363270

1215363270 was paid $577K by Medicaid between Jan 2018 and May 2019, across 2 billing codes. Its largest line is J2315, Injection, naltrexone, depot form, 1 mg — 70% of everything it billed.

33Billing provider info1215363270

33aNPI1215363270

33bProvider type—

28Total paid$577K

24GClaims567

24DCodes billed2

24AFirst – last monthJan 2018 – May 2019

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	502	$521K
2019	65	$56K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J2315	Injection, naltrexone, depot form, 1 mg	70%	348	302	$405K
J0585	Injection, onabotulinumtoxina, 1 unit	30%	219	177	$172K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.