1649633397

1649633397 was paid $636K by Medicaid between Mar 2018 and Aug 2021, across 8 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 43% of everything it billed.

33Billing provider info1649633397

33aNPI1649633397

33bProvider type—

28Total paid$636K

24GClaims2,269

24DCodes billed8

24AFirst – last monthMar 2018 – Aug 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	398	$133K
2019	569	$257K
2020	860	$153K
2021	442	$93K

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	43%	482	480	$271K
95951		27%	122	121	$174K
95811		19%	224	223	$123K
95720		4.5%	370	322	$28K
94010		4.0%	971	818	$26K
95953		1.8%	41	41	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	43	43	$3K
99072		0%	16	13	$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.