1538533583

1538533583 was paid $925.29 by Medicaid between Jan 2018 and Mar 2021, across 7 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 53% of everything it billed.

33Billing provider info1538533583

33aNPI1538533583

33bProvider type—

28Total paid$925.29

24GClaims3,901

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 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	950	$491.53
2019	1,630	$433.76
2020	1,019	$0.00
2021	302	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45380	Colonoscopy, flexible; with biopsy, single or multiple	53%	904	902	$491.53
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	47%	1,474	1,474	$433.76
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	0%	489	488	$0.00
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	0%	103	98	$0.00
V2632	Posterior chamber intraocular lens	0%	59	54	$0.00
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	0%	791	789	$0.00
0490		0%	81	59	$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.