1619924396

1619924396 was paid $46K by Medicaid between May 2022 and Nov 2023, across 8 billing codes. Its largest line is 99423, — 85% of everything it billed.

33Billing provider info1619924396

33aNPI1619924396

33bProvider type—

28Total paid$46K

24GClaims1,677

24DCodes billed8

24AFirst – last monthMay 2022 – Nov 2023

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
2022	329	$6K
2023	1,348	$39K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
99423	85%	1,230	356	$39K
99307	6.3%	209	111	$3K
99424	2.9%	68	64	$1K
99426	2.3%	62	62	$1K
99425	2.0%	44	40	$902.19
99427	1.3%	38	38	$592.23
99458	<1%	13	13	$26.55
99457	<1%	13	13	$26.55

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.