1871583195

1871583195 was paid $1.42M by Medicaid between Oct 2021 and Dec 2024, across 1 billing code. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 100% of everything it billed.

33Billing provider info1871583195

33aNPI1871583195

33bProvider type—

28Total paid$1.42M

24GClaims6,147

24DCodes billed1

24AFirst – last monthOct 2021 – Dec 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S0280 with only 1 total codes billed. Highly concentrated billing profile.

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
2021	170	$50K
2022	2,032	$412K
2023	1,682	$448K
2024incomplete	2,263	$510K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0280	Medical home program, comprehensive care coordination and planning, initial plan	100%	6,147	4,329	$1.42M

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.