1356863252

1356863252 was paid $4K by Medicaid between Apr 2021 and Nov 2024, across 2 billing codes. Its largest line is A9150, Non-prescription drugs — 91% of everything it billed.

33Billing provider info1356863252

33aNPI1356863252

33bProvider type—

28Total paid$4K

24GClaims119

24DCodes billed2

24AFirst – last monthApr 2021 – Nov 2024

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
2021	16	$343.44
2024incomplete	103	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A9150	Non-prescription drugs	91%	103	100	$4K
0011A		8.6%	16	12	$343.44

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.