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NPI 1730218959
NPI deactivated
1730218959
1730218959 was paid $94K by Medicaid between Jan 2018 and Dec 2021, across 23 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.
33Billing provider info1730218959
33aNPI1730218959
33bProvider type—
28Total paid$94K
24GClaims23,593
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 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 | |
|---|---|---|---|
| 2018 | 6,142 | $0.00 | |
| 2019 | 7,380 | $9K | |
| 2020 | 4,804 | $44K | |
| 2021 | 5,267 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 100% | 9,594 | 769 | $93K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | <1% | 385 | 117 | $369.45 |
| J1270 | Injection, doxercalciferol, 1 mcg | 0% | 3,042 | 281 | $0.00 |
| 82040 | 0% | 847 | 787 | $0.00 | |
| 84132 | 0% | 1,261 | 792 | $0.00 | |
| 84075 | 0% | 846 | 788 | $0.00 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 0% | 932 | 79 | $0.00 |
| 85027 | 0% | 188 | 187 | $0.00 | |
| 85018 | 0% | 205 | 172 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | 44 | $0.00 |
| 83550 | 0% | 68 | 60 | $0.00 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 30 | 29 | $0.00 |
11 more codes
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.