1881079770

1881079770 was paid $802K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 96113, — 69% of everything it billed.

33Billing provider info1881079770

33aNPI1881079770

33bProvider type—

28Total paid$802K

24GClaims3,364

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

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	58	$32K
2019	222	$53K
2020	343	$91K
2021	543	$138K
2022	933	$191K
2023	697	$151K
2024incomplete	568	$147K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
96113	69%	1,595	1,580	$557K
96112	27%	1,711	1,690	$213K
96111	4.0%	58	58	$32K

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.