Clinic
Salem State University
Salem State University was paid $2K by Medicaid between Oct 2020 and Feb 2021, across 5 billing codes. Its largest line is 0012A, — 48% of everything it billed.
33Billing provider infoSALEM STATE UNIVERSITY
SALEM, MA 01970
SALEM, MA 01970
33aNPI1255671558assigned 02/22/2013
33bProvider typeStudent Health Clinic/Center
28Total paid$2K
24GClaims90
24DCodes billed5
24AFirst – last monthOct 2020 – Feb 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 | |
|---|---|---|---|
| 2020 | 30 | $391.13 | |
| 2021 | 60 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0012A | 48% | 15 | 15 | $851.72 | |
| 0011A | 30% | 16 | 16 | $542.09 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14% | 14 | 14 | $243.32 |
| 90658 | 8.3% | 16 | 15 | $147.81 | |
| 91301 | 0% | 29 | 29 | $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.
From NPPES
Who's on the registration
Authorized officialDALY, KIMBERLY (ASSOCIATE DIRECTOR)
Parent organizationCOMMONWEALTH OF MASSACHUSETTS