1407863764

1407863764 was paid $55K by Medicaid between Apr 2018 and Sep 2019, across 6 billing codes. Its largest line is 15946, — 29% of everything it billed.

33Billing provider info1407863764

33aNPI1407863764

33bProvider type—

28Total paid$55K

24GClaims195

24DCodes billed6

24AFirst – last monthApr 2018 – Sep 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	74	$14K
2019	121	$41K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
15946	29%	24	24	$16K
14061	20%	37	37	$11K
14001	16%	50	49	$9K
15738	14%	24	24	$8K
14021	14%	36	36	$8K
15734	6.0%	24	24	$3K

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.