1477951648

1477951648 was paid $2.03M by Medicaid between Jan 2018 and Sep 2024, across 30 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 95% of everything it billed.

33Billing provider info1477951648

33aNPI1477951648

33bProvider type—

28Total paid$2.03M

24GClaims72,377

24DCodes billed30

24AFirst – last monthJan 2018 – Sep 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	7,540	$149K
2019	7,958	$229K
2020	10,173	$368K
2021	9,941	$374K
2022	7,401	$360K
2023	20,278	$339K
2024incomplete	9,086	$211K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90999	Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient	95%	24,762	1,783	$1.93M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	2.2%	3,236	1,505	$45K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1.2%	682	163	$24K
J1756	Injection, iron sucrose, 1 mg	1.1%	4,197	1,011	$21K
J2501	Injection, paricalcitol, 1 mcg	<1%	20,174	1,555	$6K
90747		<1%	31	26	$1K
82040		<1%	1,161	834	$879.85
83970		<1%	989	731	$530.94
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	<1%	134	28	$427.45
82728		<1%	1,107	805	$291.25
84466		<1%	1,153	833	$270.75
84520		<1%	2,888	851	$208.64

18 more codes

0011A		<1%	14	$173.04
83540		<1%	1,153	$141.02
84075		<1%	1,126	$112.37
82310		<1%	1,145	$111.99
82565		<1%	1,160	$111.65
82374		<1%	1,132	$106.19
84100		<1%	1,147	$102.99
84132		<1%	1,145	$100.33
82435		<1%	1,132	$99.89
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	63	$90.35
85045		<1%	1,176	$87.23
84295		<1%	562	$54.01
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	31	$51.80
84155		<1%	561	$41.15
87340		<1%	96	$20.66
86706		<1%	191	$17.20
G0008	Administration of influenza virus vaccine	<1%	14	$16.53
91301		<1%	15	$0.04

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.