1255386777

1255386777 was paid $6K by Medicaid between Sep 2018 and Mar 2021, across 1 billing code. Its largest line is 01960, — 100% of everything it billed.

33Billing provider info1255386777

33aNPI1255386777

33bProvider type—

28Total paid$6K

24GClaims26

24DCodes billed1

24AFirst – last monthSep 2018 – Mar 2021

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	13	$3K
2021	13	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
01960		100%	26	25	$6K

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.