Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1255335535

1255335535 was paid $8.46M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 83970, — 33% of everything it billed.

33Billing provider info1255335535
33aNPI1255335535
33bProvider type—
28Total paid$8.46M
24GClaims1,240,130
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018582,773$4.42M
2019223,825$1.71M
202077,237$411K
202187,888$334K
2022119,064$653K
202399,508$579K
2024incomplete49,835$356K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
83970 33% 95,361 86,930 $2.82M
82728 7.8% 68,936 62,098 $664K
84460 6.3% 221,281 208,550 $535K
83550 6.2% 87,883 79,764 $525K
83540 5.0% 89,381 81,136 $427K
86803 4.4% 36,466 35,018 $371K
83615 3.9% 68,899 64,214 $328K
82310 3.7% 72,384 54,098 $310K
84100 3.6% 80,484 56,503 $306K
84450 3.2% 69,814 64,794 $274K
83036 Hemoglobin; glycosylated (A1C) 3.0% 50,377 47,429 $255K
87340 2.5% 32,614 29,698 $210K
52 more codes
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.3% 9,005 $194K
82108 2.1% 12,307 $180K
80061 Lipid panel 1.4% 15,086 $119K
84295 1.3% 48,366 $112K
84132 1.2% 30,307 $105K
86706 1.1% 13,238 $94K
85018 <1% 30,357 $62K
84520 <1% 22,303 $57K
86704 <1% 6,160 $57K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 1,294 $47K
87522 Neg quan hep c or qual rna <1% 1,647 $41K
87040 <1% 4,476 $35K
80051 <1% 6,594 $34K
82746 <1% 2,388 $27K
82565 <1% 6,779 $26K
84466 <1% 1,987 $23K
82570 <1% 6,684 $22K
84443 Thyroid stimulating hormone (TSH) <1% 2,327 $22K
83718 <1% 2,907 $21K
83735 <1% 5,512 $21K
82040 <1% 5,701 $18K
85045 <1% 5,895 $16K
82607 <1% 1,393 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,396 $14K
84540 <1% 2,603 $8K
84075 <1% 2,176 $8K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 624 $8K
80202 <1% 642 $7K
84155 <1% 2,251 $6K
87070 <1% 933 $6K
87186 <1% 1,009 $6K
85610 <1% 1,650 $4K
82247 <1% 1,013 $4K
87077 <1% 513 $3K
82435 <1% 973 $2K
82374 <1% 988 $2K
84550 <1% 589 $2K
82465 <1% 574 $2K
82947 <1% 500 $2K
82248 <1% 369 $2K
87205 <1% 485 $2K
82945 <1% 641 $2K
84478 <1% 434 $1K
85014 <1% 824 $1K
87147 <1% 339 $1K
89051 <1% 340 $1K
84439 <1% 29 $209.58
85049 <1% 103 $197.00
84436 <1% 35 $111.16
85041 <1% 53 $29.31
85048 <1% 54 $27.55
99080 0% 397 $0.00

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.