1518127562

1518127562 was paid $1K by Medicaid between Oct 2018 and Dec 2021, across 4 billing codes. Its largest line is 0064A, — 46% of everything it billed.

33Billing provider info1518127562

33aNPI1518127562

33bProvider type—

28Total paid$1K

24GClaims84

24DCodes billed4

24AFirst – last monthOct 2018 – Dec 2021

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	41	$481.00
2019	13	$0.00
2021	30	$743.68

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0064A		46%	16	16	$567.84
90674		39%	22	22	$481.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	14%	14	14	$175.84
S9430	Pharmacy compounding and dispensing services	0%	32	31	$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.