1700288941

1700288941 was paid $65K by Medicaid between Jan 2018 and Apr 2018, across 26 billing codes. Its largest line is A4623, Tracheostomy, inner cannula — 20% of everything it billed.

33Billing provider info1700288941

33aNPI1700288941

33bProvider type—

28Total paid$65K

24GClaims5,113

24DCodes billed26

24AFirst – last monthJan 2018 – Apr 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	5,113	$65K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4623	Tracheostomy, inner cannula	20%	371	293	$13K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	19%	378	296	$13K
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	18%	266	211	$12K
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	17%	900	772	$11K
A7526	Tracheostomy tube collar/holder, each	5.5%	239	201	$4K
A4452	Tape, waterproof, per 18 square inches	4.6%	510	430	$3K
A6203	Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	4.5%	168	139	$3K
A6199	Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches	1.9%	105	98	$1K
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	1.8%	427	373	$1K
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	1.5%	232	206	$958.70
A4314	Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)	1.2%	148	123	$781.97
A7521	Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each	<1%	75	60	$557.02

14 more codes

A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	<1%	305	$488.02
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	<1%	176	$448.10
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	<1%	176	$425.74
A6231	Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing	<1%	58	$308.77
A6222	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	<1%	77	$257.20
A6248	Hydrogel dressing, wound filler, gel, per fluid ounce	<1%	199	$129.92
A4333	Urinary catheter anchoring device, adhesive skin attachment, each	<1%	67	$35.86
A5120	Skin barrier, wipes or swabs, each	<1%	50	$20.37
A4450	Tape, non-waterproof, per 18 square inches	<1%	37	$13.84
A4334	Urinary catheter anchoring device, leg strap, each	<1%	28	$6.65
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	0%	47	$0.00
A4315	Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone	0%	32	$0.00
A6234	Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	0%	16	$0.00
A4629	Tracheostomy care kit for established tracheostomy	0%	26	$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.