1679893416

1679893416 was paid $12K by Medicaid between Mar 2018 and Jun 2020, across 8 billing codes. Its largest line is 00813, — 33% of everything it billed.

33Billing provider info1679893416

33aNPI1679893416

33bProvider type—

28Total paid$12K

24GClaims183

24DCodes billed8

24AFirst – last monthMar 2018 – Jun 2020

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	37	$4K
2019	89	$2K
2020	57	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
00813		33%	44	42	$4K
00170	Anesthesia for intraoral procedures, including biopsy	29%	26	26	$4K
00731		29%	38	37	$4K
00126		8.9%	12	12	$1K
G9771	At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time	0%	13	13	$0.00
G9655	A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used	0%	13	13	$0.00
G9656	Patient transferred directly from anesthetizing location to pacu or other non-icu location	0%	25	25	$0.00
G9654	Monitored anesthesia care (mac)	0%	12	12	$0.00

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.