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NPI 1558843763
NPI deactivated
1558843763
1558843763 was paid $1.12M by Medicaid between Dec 2019 and Aug 2021, across 3 billing codes. Its largest line is H0044, Supported housing, per month — 97% of everything it billed.
33Billing provider info1558843763
33aNPI1558843763
33bProvider type—
28Total paid$1.12M
24GClaims2,057
24DCodes billed3
24AFirst – last monthDec 2019 – Aug 2021
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code H0044 with only 3 total codes billed. Highly concentrated billing profile.
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 | 14 | $6K | |
| 2020 | 1,954 | $1.05M | |
| 2021 | 89 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0044 | Supported housing, per month | 97% | 1,981 | 1,897 | $1.08M |
| H2001 | Rehabilitation program, per 1/2 day | 2.6% | 46 | 46 | $28K |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 30 | 23 | $4K |
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.