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NPI 1760402440
NPI deactivated
1760402440
1760402440 was paid $195K by Medicaid between Jan 2018 and Nov 2018, across 2 billing codes. Its largest line is 52214, — 98% of everything it billed.
33Billing provider info1760402440
33aNPI1760402440
33bProvider type—
28Total paid$195K
24GClaims395
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2018
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 | 395 | $195K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 52214 | 98% | 220 | 167 | $191K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 175 | 133 | $3K |
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.