1487654703

1487654703 was paid $999.39 by Medicaid between May 2019 and Jul 2022, across 2 billing codes. Its largest line is 74230, — 100% of everything it billed.

33Billing provider info1487654703

33aNPI1487654703

33bProvider type—

28Total paid$999.39

24GClaims166

24DCodes billed2

24AFirst – last monthMay 2019 – Jul 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
2019	13	$0.00
2020	33	$136.90
2021	54	$329.59
2022	66	$532.90

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
74230		100%	153	147	$999.39
G9327	Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements	0%	13	13	$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.