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NPI 1679577183
NPI deactivated
1679577183
1679577183 was paid $1K by Medicaid between Jan 2018 and Jan 2018, across 3 billing codes. Its largest line is 71010, — 56% of everything it billed.
33Billing provider info1679577183
33aNPI1679577183
33bProvider type—
28Total paid$1K
24GClaims95
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 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 | 95 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 71010 | 56% | 51 | 40 | $754.91 | |
| 71020 | 24% | 23 | 22 | $326.60 | |
| 74000 | 20% | 21 | 21 | $263.53 |
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.