NP / PA
Kongbandalsuke, Nongnuch
Kongbandalsuke, Nongnuch was paid $129.34 by Medicaid between Feb 2018 and Mar 2018, across 2 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.
33Billing provider infoKONGBANDALSUKE, NONGNUCH
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
33aNPI1730438359assigned 08/29/2012
33bProvider typeNurse Practitioner
28Total paid$129.34
24GClaims45
24DCodes billed2
24AFirst – last monthFeb 2018 – Mar 2018
Compared with peers
Next to other Nurse Practitioner providers in California
Rank by total paid#65 of 84
Median peer was paid$4K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 45 | $129.34 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 100% | 29 | 29 | $129.34 |
| 90686 | 0% | 16 | 16 | $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.