1790775484

1790775484 was paid $31K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is 31233, — 32% of everything it billed.

33Billing provider info1790775484

33aNPI1790775484

33bProvider type—

28Total paid$31K

24GClaims789

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 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	789	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31233		32%	68	60	$10K
99201		30%	379	307	$9K
31525		19%	53	49	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	14%	215	164	$4K
69210		4.4%	74	59	$1K

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.