1558585380

1558585380 was paid $7K by Medicaid between Jul 2019 and Nov 2019, across 4 billing codes. Its largest line is 01992, — 73% of everything it billed.

33Billing provider info1558585380

33aNPI1558585380

33bProvider type—

28Total paid$7K

24GClaims146

24DCodes billed4

24AFirst – last monthJul 2019 – 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
2019	146	$7K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
01992	73%	15	12	$5K
01270	13%	42	42	$920.00
01930	8.4%	71	68	$590.00
00400	5.1%	18	17	$360.00

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.