1659375426

1659375426 was paid $196.74 by Medicaid between Mar 2018 and Jul 2018, across 2 billing codes. Its largest line is A4216, Sterile water, saline and/or dextrose, diluent/flush, 10 ml — 88% of everything it billed.

33Billing provider info1659375426

33aNPI1659375426

33bProvider type—

28Total paid$196.74

24GClaims61

24DCodes billed2

24AFirst – last monthMar 2018 – Jul 2018

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	61	$196.74

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	88%	41	26	$173.94
A6457	Tubular dressing with or without elastic, any width, per linear yard	12%	20	12	$22.80

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.