1275532053

1275532053 was paid $385K by Medicaid between Jun 2021 and May 2022, across 1 billing code. Its largest line is J0775, Injection, collagenase, clostridium histolyticum, 0.01 mg — 100% of everything it billed.

33Billing provider info1275532053

33aNPI1275532053

33bProvider type—

28Total paid$385K

24GClaims52

24DCodes billed1

24AFirst – last monthJun 2021 – May 2022

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
2021	36	$275K
2022	16	$109K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0775	Injection, collagenase, clostridium histolyticum, 0.01 mg	100%	52	41	$385K

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.