1730558602

1730558602 was paid $80K by Medicaid between Nov 2022 and Mar 2023, across 4 billing codes. Its largest line is 81455, — 60% of everything it billed.

33Billing provider info1730558602

33aNPI1730558602

33bProvider type—

28Total paid$80K

24GClaims259

24DCodes billed4

24AFirst – last monthNov 2022 – Mar 2023

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
2022	57	$7K
2023	202	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
81455		60%	88	67	$48K
81194		27%	75	68	$22K
81301		12%	78	71	$10K
81479	Unlisted molecular pathology procedure	<1%	18	15	$701.14

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.