1386353811

1386353811 was paid $118K by Medicaid between Apr 2024 and Oct 2024, across 3 billing codes. Its largest line is L3030, Foot, insert, removable, formed to patient foot, each — 60% of everything it billed.

33Billing provider info1386353811

33aNPI1386353811

33bProvider type—

28Total paid$118K

24GClaims904

24DCodes billed3

24AFirst – last monthApr 2024 – Oct 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
2024incomplete	904	$118K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3030	Foot, insert, removable, formed to patient foot, each	60%	495	236	$71K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	31%	320	153	$37K
L3221	Orthopedic footwear, mens shoe, depth inlay, each	8.7%	89	43	$10K

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.