1457815789

1457815789 was paid $7.54M by Medicaid between Jul 2019 and May 2021, across 6 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 99% of everything it billed.

33Billing provider info1457815789

33aNPI1457815789

33bProvider type—

28Total paid$7.54M

24GClaims237,428

24DCodes billed6

24AFirst – last monthJul 2019 – May 2021

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
2019	53,366	$1.54M
2020	160,650	$5.36M
2021	23,412	$640K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	99%	220,665	75,410	$7.43M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1.1%	15,535	4,465	$87K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	<1%	1,044	753	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	33	32	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	39	38	$829.14
H0022	Alcohol and/or drug intervention service (planned facilitation)	<1%	112	83	$266.39

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.