1669866547

1669866547 was paid $6K by Medicaid between Jun 2018 and Jun 2018, across 1 billing code. Its largest line is G9009, Coordinated care fee, risk adjusted maintenance, level 3 — 100% of everything it billed.

33Billing provider info1669866547

33aNPI1669866547

33bProvider type—

28Total paid$6K

24GClaims16

24DCodes billed1

24AFirst – last monthJun 2018 – Jun 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	16	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9009	Coordinated care fee, risk adjusted maintenance, level 3	100%	16	12	$6K

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.