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NPI 1306961636
NPI deactivated
1306961636
1306961636 was paid $314K by Medicaid between Feb 2018 and Apr 2020, across 2 billing codes. Its largest line is 99406, — 100% of everything it billed.
33Billing provider info1306961636
33aNPI1306961636
33bProvider type—
28Total paid$314K
24GClaims1,679
24DCodes billed2
24AFirst – last monthFeb 2018 – Apr 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 | 604 | $110K | |
| 2019 | 816 | $164K | |
| 2020 | 259 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99406 | 100% | 1,655 | 1,621 | $314K | |
| S9453 | Smoking cessation classes, non-physician provider, per session | 0% | 24 | 24 | $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.