1871673756

1871673756 was paid $0.00 by Medicaid between Sep 2020 and Sep 2020, across 2 billing codes. Its largest line is Q9966, Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml — 0% of everything it billed.

33Billing provider info1871673756

33aNPI1871673756

33bProvider type—

28Total paid$0.00

24GClaims123

24DCodes billed2

24AFirst – last monthSep 2020 – Sep 2020

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
2020	123	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	0%	82	12	$0.00
27369		0%	41	12	$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.