1366836249

1366836249 was paid $351K by Medicaid between Mar 2018 and Apr 2020, across 1 billing code. Its largest line is G9009, Coordinated care fee, risk adjusted maintenance, level 3 — 100% of everything it billed.

33Billing provider info1366836249

33aNPI1366836249

33bProvider type—

28Total paid$351K

24GClaims1,015

24DCodes billed1

24AFirst – last monthMar 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	335	$116K
2019	471	$163K
2020	209	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9009	Coordinated care fee, risk adjusted maintenance, level 3	100%	1,015	972	$351K

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.