1821101015

1821101015 was paid $1.00M by Medicaid between Jan 2018 and Nov 2019, across 14 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 48% of everything it billed.

33Billing provider info1821101015

33aNPI1821101015

33bProvider type—

28Total paid$1.00M

24GClaims11,993

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2019

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	7,745	$609K
2019	4,248	$396K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
77067	Screening mammography, bilateral, including computer-aided detection	48%	7,470	7,460	$487K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	11%	487	487	$114K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	9.2%	679	573	$93K
90961		6.4%	342	342	$64K
76801		6.2%	994	989	$62K
90966		6.1%	333	331	$62K
76813		5.3%	584	459	$54K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	3.5%	519	519	$35K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	1.7%	341	340	$17K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.0%	146	146	$10K
G0202	Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	<1%	40	28	$5K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	33	33	$1K

2 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	12	$626.37
71046	Radiologic examination, chest; 2 views	<1%	13	$353.73

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.