1669416822

1669416822 was paid $28K by Medicaid between Jan 2018 and Mar 2018, across 2 billing codes. Its largest line is S0281, Medical home program, comprehensive care coordination and planning, maintenance of plan — 96% of everything it billed.

33Billing provider info1669416822

33aNPI1669416822

33bProvider type—

28Total paid$28K

24GClaims6,638

24DCodes billed2

24AFirst – last monthJan 2018 – Mar 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	6,638	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	96%	6,494	6,494	$27K
S0315	Disease management program; initial assessment and initiation of the program	3.8%	144	144	$1K

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.