1396798773

1396798773 was paid $15K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 01991, — 31% of everything it billed.

33Billing provider info1396798773

33aNPI1396798773

33bProvider type—

28Total paid$15K

24GClaims270

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

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	135	$9K
2019	135	$6K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
01991	31%	91	74	$5K
00813	28%	64	64	$4K
01160	22%	69	51	$3K
00732	12%	28	28	$2K
01992	6.9%	18	18	$1K

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.