1659940278

1659940278 was paid $247K by Medicaid between May 2023 and Oct 2023, across 1 billing code. Its largest line is D8090, — 100% of everything it billed.

33Billing provider info1659940278

33aNPI1659940278

33bProvider type—

28Total paid$247K

24GClaims62

24DCodes billed1

24AFirst – last monthMay 2023 – Oct 2023

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
2023	62	$247K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8090		100%	62	58	$247K

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.