Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1396728192

1396728192 was paid $2.07M by Medicaid between Jan 2018 and Jan 2021, across 11 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 63% of everything it billed.

33Billing provider info1396728192
33aNPI1396728192
33bProvider type—
28Total paid$2.07M
24GClaims26,776
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2021
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20183,371$216K
20199,157$594K
202014,186$1.26M
202162$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 63% 16,313 2,625 $1.29M
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 16% 4,818 1,055 $340K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 9.8% 2,171 829 $202K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 7.2% 1,705 429 $150K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 3.2% 741 218 $66K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 590 302 $8K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 177 138 $4K
A9270 Non-covered item or service <1% 78 45 $3K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 106 93 $3K
A6260 Wound cleansers, any type, any size <1% 60 38 $765.87
A6203 Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 17 13 $81.20

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.