1831351725

1831351725 was paid $457K by Medicaid between Jan 2018 and Dec 2021, across 2 billing codes. Its largest line is 97803, — 55% of everything it billed.

33Billing provider info1831351725

33aNPI1831351725

33bProvider type—

28Total paid$457K

24GClaims8,291

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 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	1,280	$38K
2019	4,748	$289K
2020	1,471	$91K
2021	792	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97803		55%	5,684	4,936	$251K
97802		45%	2,607	2,545	$207K

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.