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NPI 1861095069
NPI deactivated
1861095069
1861095069 was paid $315.99 by Medicaid between Apr 2022 and Mar 2023, across 3 billing codes. Its largest line is 86409, — 100% of everything it billed.
33Billing provider info1861095069
33aNPI1861095069
33bProvider type—
28Total paid$315.99
24GClaims1,057
24DCodes billed3
24AFirst – last monthApr 2022 – Mar 2023
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 | |
|---|---|---|---|
| 2022 | 733 | $315.99 | |
| 2023 | 324 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 86409 | 100% | 467 | 242 | $315.99 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 167 | 97 | $0.00 |
| 86413 | 0% | 423 | 241 | $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.