1730657412

1730657412 was paid $606K by Medicaid between Jul 2024 and Nov 2024, across 2 billing codes. Its largest line is 0650, Inj, levothyroxine, hikma — 55% of everything it billed.

33Billing provider info1730657412

33aNPI1730657412

33bProvider type—

28Total paid$606K

24GClaims127

24DCodes billed2

24AFirst – last monthJul 2024 – Nov 2024

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
2024incomplete	127	$606K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0650	Inj, levothyroxine, hikma	55%	72	69	$334K
0659	Rehabilitation services, other	45%	55	55	$272K

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.