1215920210

1215920210 was paid $5K by Medicaid between Apr 2018 and Oct 2019, across 6 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 30% of everything it billed.

33Billing provider info1215920210

33aNPI1215920210

33bProvider type—

28Total paid$5K

24GClaims318

24DCodes billed6

24AFirst – last monthApr 2018 – Oct 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	173	$3K
2019	145	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95810	Polysomnography; sleep staging with 4 or more additional parameters	30%	17	17	$2K
94060		26%	96	91	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	28	28	$663.79
94070		13%	31	26	$624.76
94727		11%	71	70	$543.80
94729		7.4%	75	71	$369.16

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.