1831303270

1831303270 was paid $607K by Medicaid between Jan 2018 and Aug 2022, across 7 billing codes. Its largest line is D5110, — 57% of everything it billed.

33Billing provider info1831303270

33aNPI1831303270

33bProvider type—

28Total paid$607K

24GClaims2,913

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2022

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	741	$142K
2019	777	$161K
2020	734	$87K
2021	478	$148K
2022	183	$68K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D5110		57%	840	798	$347K
D5120		38%	543	521	$228K
D0140	Limited oral evaluation - problem focused	3.7%	1,159	1,102	$23K
D5750		<1%	29	29	$5K
D1999		<1%	290	251	$3K
D5751		<1%	13	13	$1K
D5410		<1%	39	38	$655.59

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.