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NPI 1558316240
NPI deactivated
1558316240
1558316240 was paid $0.00 by Medicaid between Oct 2021 and Oct 2024, across 12 billing codes. Its largest line is M0201, Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home — 0% of everything it billed.
33Billing provider info1558316240
33aNPI1558316240
33bProvider type—
28Total paid$0.00
24GClaims528
24DCodes billed12
24AFirst – last monthOct 2021 – Oct 2024
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 | |
|---|---|---|---|
| 2021 | 152 | $0.00 | |
| 2022 | 174 | $0.00 | |
| 2023 | 56 | $0.00 | |
| 2024incomplete | 146 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 0% | 85 | 85 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 133 | 133 | $0.00 |
| 90674 | 0% | 31 | 31 | $0.00 | |
| 90694 | 0% | 12 | 12 | $0.00 | |
| 90686 | 0% | 24 | 24 | $0.00 | |
| 90480 | 0% | 32 | 32 | $0.00 | |
| 90656 | 0% | 22 | 22 | $0.00 | |
| 0003A | 0% | 66 | 66 | $0.00 | |
| 0124A | 0% | 42 | 42 | $0.00 | |
| 90756 | 0% | 23 | 23 | $0.00 | |
| 0054A | 0% | 26 | 26 | $0.00 | |
| 91320 | 0% | 32 | 32 | $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.