1265535967

1265535967 was paid $16K by Medicaid between Sep 2019 and Sep 2021, across 6 billing codes. Its largest line is 0001A, — 43% of everything it billed.

33Billing provider info1265535967

33aNPI1265535967

33bProvider type—

28Total paid$16K

24GClaims741

24DCodes billed6

24AFirst – last monthSep 2019 – Sep 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
2019	117	$2K
2020	144	$1K
2021	480	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0001A		43%	121	120	$7K
0002A		40%	108	107	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	9.0%	130	111	$1K
90686		8.1%	116	94	$1K
91300		0%	251	208	$0.00
90471CG		0%	15	15	$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.