1689705022

1689705022 was paid $3.26M by Medicaid between Oct 2018 and Jul 2024, across 14 billing codes. Its largest line is 96165, — 40% of everything it billed.

33Billing provider info1689705022

33aNPI1689705022

33bProvider type—

28Total paid$3.26M

24GClaims66,697

24DCodes billed14

24AFirst – last monthOct 2018 – Jul 2024

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	307	$0.00
2019	9,844	$393K
2020	16,306	$801K
2021	17,311	$845K
2022	10,145	$547K
2023	8,650	$422K
2024incomplete	4,134	$247K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96165		40%	18,902	4,869	$1.31M
H0004	Behavioral health counseling and therapy, per 15 minutes	23%	5,955	4,016	$735K
96164		11%	19,033	4,894	$360K
96153		10%	7,946	1,983	$335K
H0001	Alcohol and/or drug assessment	8.7%	1,651	1,544	$284K
H0046	Mental health services, not otherwise specified	2.4%	2,242	2,173	$78K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	1.8%	3,058	2,421	$60K
H0023	Behavioral health outreach service (planned approach to reach a targeted population)	1.2%	575	274	$40K
80305		<1%	1,355	1,080	$20K
99051		<1%	5,482	1,415	$18K
T1016	Case management, each 15 minutes	<1%	334	201	$15K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	25	25	$4K

2 more codes

80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	14	$825.54
H0047	Alcohol and/or other drug abuse services, not otherwise specified	0%	125	$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.