1881848703

1881848703 was paid $16K by Medicaid between Aug 2018 and Mar 2023, across 10 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 39% of everything it billed.

33Billing provider info1881848703

33aNPI1881848703

33bProvider type—

28Total paid$16K

24GClaims842

24DCodes billed10

24AFirst – last monthAug 2018 – 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
2018	69	$1K
2020	109	$711.74
2021	360	$9K
2022	276	$4K
2023	28	$290.87

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	39%	585	555	$6K
90651		19%	13	12	$3K
0064A		12%	54	54	$2K
0012A		7.4%	28	28	$1K
0011A		6.3%	26	26	$1K
90674		6.0%	39	38	$954.99
90715		5.3%	27	26	$839.76
0134A		3.3%	13	13	$519.84
90686		2.4%	26	26	$385.55
S9430	Pharmacy compounding and dispensing services	0%	31	29	$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.