1477676997

1477676997 was paid $124K by Medicaid between Jan 2018 and Jan 2019, across 6 billing codes. Its largest line is A9901, Dme delivery, set up, and/or dispensing service component of another hcpcs code — 89% of everything it billed.

33Billing provider info1477676997

33aNPI1477676997

33bProvider type—

28Total paid$124K

24GClaims2,148

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 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	2,121	$123K
2019	27	$833.62

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A9901	Dme delivery, set up, and/or dispensing service component of another hcpcs code	89%	1,597	494	$110K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	9.3%	324	113	$12K
97542		<1%	49	28	$868.58
97755		<1%	112	52	$802.27
92607		<1%	34	17	$330.67
92608		<1%	32	15	$165.01

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.