1275697435

1275697435 was paid $4.43M by Medicaid between Jan 2018 and Oct 2020, across 17 billing codes. Its largest line is J7605, Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms — 46% of everything it billed.

33Billing provider info1275697435

33aNPI1275697435

33bProvider type—

28Total paid$4.43M

24GClaims410,397

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 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	272,237	$2.91M
2019	132,771	$1.51M
2020	5,389	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J7605	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms	46%	31,800	27,108	$2.04M
J7606	Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms	20%	11,350	9,809	$871K
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	10%	37,722	32,356	$453K
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	9.6%	154,756	134,232	$423K
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	6.9%	72,574	62,063	$305K
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	6.2%	81,326	69,928	$275K
G0333	Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary	<1%	5,479	4,945	$34K
J7644	Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	<1%	12,896	11,034	$20K
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	<1%	371	60	$5K
J7699	Noc drugs, inhalation solution administered through dme	<1%	21	19	$2K
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	<1%	102	90	$1K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	<1%	43	43	$703.58

5 more codes

A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	270	$3.13
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	822	$1.22
A7015	Aerosol mask, used with dme nebulizer	0%	365	$0.00
E0570	Nebulizer, with compressor	0%	459	$0.00
A7013	Filter, disposable, used with aerosol compressor or ultrasonic generator	0%	41	$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.