1427235654

1427235654 was paid $6K by Medicaid between Oct 2018 and Apr 2022, across 6 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 35% of everything it billed.

33Billing provider info1427235654

33aNPI1427235654

33bProvider type—

28Total paid$6K

24GClaims389

24DCodes billed6

24AFirst – last monthOct 2018 – Apr 2022

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	15	$0.00
2019	44	$0.00
2020	34	$504.20
2021	239	$4K
2022	57	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	35%	192	171	$2K
0064A		28%	46	46	$2K
90686		16%	59	56	$1K
0012A		13%	20	20	$786.24
0011A		8.4%	13	13	$524.16
S9430	Pharmacy compounding and dispensing services	0%	59	50	$0.00

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.