1417909656

1417909656 was paid $164K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 95886, — 74% of everything it billed.

33Billing provider info1417909656

33aNPI1417909656

33bProvider type—

28Total paid$164K

24GClaims2,131

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 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
2018	250	$15K
2019	236	$14K
2020	256	$19K
2021	335	$22K
2022	383	$31K
2023	461	$43K
2024incomplete	210	$21K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
95886	74%	1,638	1,635	$122K
95909	24%	464	464	$39K
95911	2.2%	29	29	$4K

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.