1336692094

1336692094 was paid $83K by Medicaid between Oct 2019 and Sep 2022, across 6 billing codes. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 71% of everything it billed.

33Billing provider info1336692094

33aNPI1336692094

33bProvider type—

28Total paid$83K

24GClaims570

24DCodes billed6

24AFirst – last monthOct 2019 – Sep 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
2019	23	$660.00
2021	275	$34K
2022	272	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	71%	324	265	$59K
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	24%	132	93	$20K
E0603	Breast pump, electric (ac and/or dc), any type	2.8%	55	38	$2K
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	<1%	31	24	$815.50
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	<1%	13	13	$683.98
A5120	Skin barrier, wipes or swabs, each	<1%	15	12	$95.00

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.