1710041595

1710041595 was paid $15K by Medicaid between Mar 2020 and Apr 2021, across 3 billing codes. Its largest line is A4213, Syringe, sterile, 20 cc or greater, each — 80% of everything it billed.

33Billing provider info1710041595

33aNPI1710041595

33bProvider type—

28Total paid$15K

24GClaims878

24DCodes billed3

24AFirst – last monthMar 2020 – Apr 2021

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
2020	530	$8K
2021	348	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4213	Syringe, sterile, 20 cc or greater, each	80%	519	383	$12K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	20%	238	164	$3K
B9998	Noc for enteral supplies	<1%	121	91	$20.00

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.