1730149709

1730149709 was paid $1.75M by Medicaid between Jan 2018 and Apr 2019, across 52 billing codes. Its largest line is 83970, — 40% of everything it billed.

33Billing provider info1730149709

33aNPI1730149709

33bProvider type—

28Total paid$1.75M

24GClaims223,779

24DCodes billed52

24AFirst – last monthJan 2018 – Apr 2019

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	223,437	$1.75M
2019	342	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
83970		40%	20,718	18,215	$696K
82728		10%	17,573	15,839	$180K
83550		7.3%	18,484	16,552	$128K
83540		5.8%	19,089	17,089	$101K
87340		3.7%	7,980	7,311	$65K
82108		3.5%	3,183	2,951	$62K
86803		3.3%	5,734	5,272	$59K
84460		2.7%	38,966	36,894	$48K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	2.5%	1,954	1,748	$44K
82310		2.5%	10,751	8,157	$43K
84100		2.2%	10,978	8,318	$39K
84295		2.0%	9,715	8,588	$35K

40 more codes

83036	Hemoglobin; glycosylated (A1C)	1.8%	8,206	$32K
86706		1.7%	3,566	$30K
84132		1.2%	5,982	$21K
86704		<1%	1,744	$17K
82746		<1%	1,235	$14K
83615		<1%	6,427	$14K
84520		<1%	4,503	$13K
82607		<1%	1,030	$12K
85045		<1%	3,119	$11K
84450		<1%	6,522	$11K
83735		<1%	1,792	$10K
80061	Lipid panel	<1%	1,692	$10K
87040		<1%	1,179	$9K
84466		<1%	767	$9K
83718		<1%	949	$6K
84443	Thyroid stimulating hormone (TSH)	<1%	559	$5K
85018		<1%	3,085	$5K
87522	Neg quan hep c or qual rna	<1%	252	$5K
82570		<1%	1,246	$4K
82040		<1%	754	$2K
80202		<1%	228	$2K
80051		<1%	442	$2K
84540		<1%	547	$2K
ATP02		<1%	310	$2K
87186		<1%	185	$1K
82465		<1%	350	$1K
87070		<1%	163	$1K
82565		<1%	217	$773.03
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	148	$721.20
85610		<1%	343	$596.83
82374		<1%	249	$494.09
84478		<1%	289	$470.28
82435		<1%	219	$414.46
82247		<1%	115	$370.79
87077		<1%	32	$198.02
84075		<1%	69	$188.15
84550		<1%	52	$156.09
84155		<1%	53	$101.03
87147		<1%	13	$69.08
82248		<1%	21	$54.03

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.