1639174634

1639174634 was paid $1.98M by Medicaid between Jan 2018 and Oct 2021, across 16 billing codes. Its largest line is 64493, — 30% of everything it billed.

33Billing provider info1639174634

33aNPI1639174634

33bProvider type—

28Total paid$1.98M

24GClaims9,898

24DCodes billed16

24AFirst – last monthJan 2018 – Oct 2021

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	4,359	$857K
2019	2,660	$593K
2020	1,355	$192K
2021	1,524	$334K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
64493		30%	1,180	771	$602K
64635		25%	1,739	1,249	$495K
62323		8.8%	625	502	$173K
64494		8.0%	1,132	694	$158K
64636		7.9%	1,616	1,130	$157K
41899	Unlisted procedure, dentoalveolar structures	7.3%	219	159	$144K
64633		4.5%	359	268	$89K
64483		3.5%	314	245	$69K
64490		2.2%	93	55	$44K
64634		<1%	241	184	$18K
27096		<1%	33	28	$17K
64491		<1%	67	42	$6K

4 more codes

G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	<1%	16	$3K
70320		<1%	18	$900.00
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	<1%	1,127	$0.01
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	1,119	$0.00

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.