Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1487700100

1487700100 was paid $682K by Medicaid between Jan 2018 and Sep 2019, across 3 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.

33Billing provider info1487700100
33aNPI1487700100
33bProvider type—
28Total paid$682K
24GClaims3,713
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2019
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20182,134$383K
20191,579$298K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 85% 1,964 500 $581K
96153 14% 1,664 412 $94K
96154 <1% 85 78 $6K

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.