1336590413

1336590413 was paid $172K by Medicaid between Jan 2018 and Aug 2020, across 9 billing codes. Its largest line is 86618, — 27% of everything it billed.

33Billing provider info1336590413

33aNPI1336590413

33bProvider type—

28Total paid$172K

24GClaims14,195

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 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	7,400	$98K
2019	5,895	$64K
2020	900	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
86618		27%	3,397	3,245	$46K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	25%	2,472	2,359	$43K
86481		18%	5,038	4,982	$31K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	11%	1,014	958	$20K
87476		9.9%	967	924	$17K
86617		5.7%	1,132	1,078	$10K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	3.1%	54	54	$5K
86619		<1%	66	60	$211.15
86666		<1%	55	30	$107.40

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.