1629015417

1629015417 was paid $1.31M by Medicaid between Jan 2018 and Oct 2022, across 3 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 54% of everything it billed.

33Billing provider info1629015417

33aNPI1629015417

33bProvider type—

28Total paid$1.31M

24GClaims3,555

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2022

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
2018	655	$252K
2019	663	$256K
2020	769	$269K
2021	869	$315K
2022	599	$218K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95810	Polysomnography; sleep staging with 4 or more additional parameters	54%	1,764	1,733	$702K
95811		44%	1,448	1,394	$578K
95806		2.3%	343	339	$30K

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.