1215471719

1215471719 was paid $174K by Medicaid between May 2021 and Oct 2022, across 2 billing codes. Its largest line is 95715, — 89% of everything it billed.

33Billing provider info1215471719

33aNPI1215471719

33bProvider type—

28Total paid$174K

24GClaims411

24DCodes billed2

24AFirst – last monthMay 2021 – Oct 2022

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
2021	194	$100K
2022	217	$74K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95715		89%	284	88	$154K
95700		11%	127	100	$20K

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.