1215702139

1215702139 was paid $618.57 by Medicaid between Sep 2024 and Sep 2024, across 1 billing code. Its largest line is L0457, Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf — 100% of everything it billed.

33Billing provider info1215702139

33aNPI1215702139

33bProvider type—

28Total paid$618.57

24GClaims15

24DCodes billed1

24AFirst – last monthSep 2024 – Sep 2024

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
2024incomplete	15	$618.57

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L0457	Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf	100%	15	15	$618.57

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.