1477695633

1477695633 was paid $83K by Medicaid between Jan 2018 and Apr 2019, across 3 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 96% of everything it billed.

33Billing provider info1477695633

33aNPI1477695633

33bProvider type—

28Total paid$83K

24GClaims208

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 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	178	$76K
2019	30	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	96%	176	168	$79K
L1930	Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment	3.8%	16	16	$3K
A6530	Gradient compression stocking, below knee, 18-30 mmhg, each	<1%	16	15	$527.32

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.