1659479632

1659479632 was paid $44K by Medicaid between Jan 2018 and Sep 2019, across 4 billing codes. Its largest line is S5000, Prescription drug, generic — 85% of everything it billed.

33Billing provider info1659479632

33aNPI1659479632

33bProvider type—

28Total paid$44K

24GClaims1,642

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 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	1,201	$32K
2019	441	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5000	Prescription drug, generic	85%	478	364	$37K
J8521	Capecitabine, oral, 500 mg	11%	123	99	$5K
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	3.0%	684	628	$1K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	<1%	357	291	$360.40

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.