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NPI 1720529647
NPI deactivated
1720529647
1720529647 was paid $4.50M by Medicaid between Feb 2020 and Dec 2024, across 2 billing codes. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 100% of everything it billed.
33Billing provider info1720529647
33aNPI1720529647
33bProvider type—
28Total paid$4.50M
24GClaims9,800
24DCodes billed2
24AFirst – last monthFeb 2020 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
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 | 1,264 | $651K | |
| 2021 | 1,814 | $916K | |
| 2022 | 1,810 | $755K | |
| 2023 | 3,047 | $1.33M | |
| 2024incomplete | 1,865 | $852K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | 100% | 9,699 | 1,166 | $4.49M |
| T1026 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour | <1% | 101 | 24 | $13K |
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.