Home ›
NPI 1558839969
NPI deactivated
1558839969
1558839969 was paid $768K by Medicaid between Oct 2019 and Nov 2024, across 1 billing code. Its largest line is H2030, Mental health clubhouse services, per 15 minutes — 100% of everything it billed.
33Billing provider info1558839969
33aNPI1558839969
33bProvider type—
28Total paid$768K
24GClaims6,405
24DCodes billed1
24AFirst – last monthOct 2019 – Nov 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 | |
|---|---|---|---|
| 2019 | 411 | $40K | |
| 2020 | 733 | $70K | |
| 2021 | 676 | $62K | |
| 2022 | 775 | $69K | |
| 2023 | 1,110 | $153K | |
| 2024incomplete | 2,700 | $374K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2030 | Mental health clubhouse services, per 15 minutes | 100% | 6,405 | 685 | $768K |
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.