Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1396891131

1396891131 was paid $3.28M by Medicaid between Jan 2018 and Dec 2019, across 8 billing codes. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 43% of everything it billed.

33Billing provider info1396891131
33aNPI1396891131
33bProvider type—
28Total paid$3.28M
24GClaims55,253
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2019
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201836,212$2.10M
201919,041$1.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 43% 17,266 5,333 $1.43M
T1004 Services of a qualified nursing aide, up to 15 minutes 21% 20,722 1,379 $696K
S9124 Nursing care, in the home; by licensed practical nurse, per hour 14% 5,469 2,366 $448K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 9.9% 5,852 204 $323K
G0162 Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) 5.5% 2,358 2,092 $179K
T1001 Nursing assessment / evaluation 3.5% 1,328 1,161 $113K
T1002 Rn services, up to 15 minutes 2.8% 2,239 1,461 $92K
T1003 Lpn/lvn services, up to 15 minutes <1% 19 12 $698.10

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.