1346725637

1346725637 was paid $17K by Medicaid between Sep 2020 and Nov 2020, across 5 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 86% of everything it billed.

33Billing provider info1346725637

33aNPI1346725637

33bProvider type—

28Total paid$17K

24GClaims158

24DCodes billed5

24AFirst – last monthSep 2020 – Nov 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
2020	158	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	86%	45	41	$15K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	12%	31	29	$2K
87631		1.1%	13	12	$194.95
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source	<1%	54	40	$103.98
0100U		0%	15	15	$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.