1558307462

1558307462 was paid $4K by Medicaid between Jan 2018 and Nov 2019, across 3 billing codes. Its largest line is Q0511, Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period — 38% of everything it billed.

33Billing provider info1558307462

33aNPI1558307462

33bProvider type—

28Total paid$4K

24GClaims746

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2019

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	488	$3K
2019	258	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	38%	337	320	$2K
J8521	Capecitabine, oral, 500 mg	38%	28	24	$2K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	25%	381	263	$1K

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.