1760884886

1760884886 was paid $23K by Medicaid between Dec 2020 and Dec 2020, across 2 billing codes. Its largest line is 95715, — 91% of everything it billed.

33Billing provider info1760884886

33aNPI1760884886

33bProvider type—

28Total paid$23K

24GClaims54

24DCodes billed2

24AFirst – last monthDec 2020 – Dec 2020

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
2020	54	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95715		91%	40	14	$21K
95700		8.9%	14	14	$2K

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.