1629362553

1629362553 was paid $2.02M by Medicaid between Jan 2018 and Jan 2019, across 3 billing codes. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 83% of everything it billed.

33Billing provider info1629362553

33aNPI1629362553

33bProvider type—

28Total paid$2.02M

24GClaims20,129

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 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
2018	19,256	$1.91M
2019	873	$108K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	83%	13,075	484	$1.68M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	11%	2,387	344	$215K
T2002	Non-emergency transportation; per diem	6.1%	4,667	393	$123K

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.