1821047317

1821047317 was paid $3.62M by Medicaid between Jan 2018 and Aug 2021, across 33 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 69% of everything it billed.

33Billing provider info1821047317

33aNPI1821047317

33bProvider type—

28Total paid$3.62M

24GClaims90,868

24DCodes billed33

24AFirst – last monthJan 2018 – Aug 2021

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	28,066	$464K
2019	28,303	$962K
2020	21,099	$1.39M
2021	13,400	$810K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90999	Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient	69%	17,391	1,469	$2.51M
A4657	Syringe, with or without needle, each	16%	10,489	963	$588K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	7.9%	4,262	1,160	$288K
80051		3.6%	1,479	1,285	$130K
J1644	Injection, heparin sodium, per 1000 units	<1%	12,984	989	$16K
85018		<1%	7,239	1,706	$16K
J2501	Injection, paricalcitol, 1 mcg	<1%	7,338	578	$12K
82728		<1%	1,904	1,663	$10K
83970		<1%	663	574	$7K
J1756	Injection, iron sucrose, 1 mg	<1%	828	155	$5K
84520		<1%	3,908	1,697	$5K
83550		<1%	1,873	1,634	$4K

21 more codes

83540		<1%	1,874	$4K
82310		<1%	2,217	$3K
82040		<1%	1,929	$3K
85046		<1%	1,456	$3K
84100		<1%	2,113	$3K
82565		<1%	1,973	$3K
84075		<1%	1,925	$3K
84450		<1%	1,467	$2K
84460		<1%	1,841	$2K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	308	$2K
86803		<1%	308	$1K
85049		<1%	598	$912.00
87340		<1%	173	$688.90
84132		<1%	751	$564.87
86706		<1%	156	$408.07
85045		<1%	446	$293.94
84295		<1%	460	$275.26
82374		<1%	454	$197.96
A9270	Non-covered item or service	<1%	34	$14.00
G0008	Administration of influenza virus vaccine	<1%	14	$8.05
90686		0%	13	$0.00

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.