1265966105

1265966105 was paid $397K by Medicaid between Jan 2018 and Mar 2020, across 3 billing codes. Its largest line is A0390, Als mileage (per mile) — 77% of everything it billed.

33Billing provider info1265966105

33aNPI1265966105

33bProvider type—

28Total paid$397K

24GClaims3,060

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2020

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	1,387	$201K
2019	1,400	$158K
2020	273	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0390	Als mileage (per mile)	77%	1,665	1,055	$305K
A0434	Specialty care transport (sct)	14%	283	211	$56K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	9.2%	1,112	657	$36K

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.