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NPI 1376870253
NPI deactivated
1376870253
1376870253 was paid $38K by Medicaid between Jan 2022 and Jul 2023, across 26 billing codes. Its largest line is 0013A, — 22% of everything it billed.
33Billing provider info1376870253
33aNPI1376870253
33bProvider type—
28Total paid$38K
24GClaims3,623
24DCodes billed26
24AFirst – last monthJan 2022 – Jul 2023
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 | |
|---|---|---|---|
| 2022 | 2,068 | $25K | |
| 2023 | 1,555 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0013A | 22% | 328 | 299 | $8K | |
| 0012A | 18% | 259 | 254 | $7K | |
| 0011A | 16% | 243 | 238 | $6K | |
| 0073A | 6.2% | 72 | 68 | $2K | |
| 0072A | 6.2% | 83 | 83 | $2K | |
| 0051A | 6.1% | 62 | 61 | $2K | |
| 0071A | 6.1% | 82 | 82 | $2K | |
| 0052A | 5.3% | 53 | 53 | $2K | |
| 0053A | 4.7% | 47 | 46 | $2K | |
| 0003A | 2.5% | 25 | 24 | $956.00 | |
| 0002A | 1.6% | 16 | 16 | $614.00 | |
| 0001A | 1.6% | 16 | 16 | $614.00 |
14 more codes
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.