1902035140

1902035140 was paid $20K by Medicaid between Jan 2018 and Jan 2023, across 9 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 29% of everything it billed.

33Billing provider info1902035140

33aNPI1902035140

33bProvider type—

28Total paid$20K

24GClaims1,167

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 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	124	$2K
2019	56	$204.40
2020	126	$2K
2021	518	$11K
2022	328	$6K
2023	15	$188.40

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	29%	557	524	$6K
0064A		24%	147	147	$5K
90686		21%	249	241	$4K
0012A		8.7%	48	48	$2K
90674		6.8%	62	60	$1K
0011A		5.6%	30	30	$1K
0134A		5.4%	28	28	$1K
S9430	Pharmacy compounding and dispensing services	0%	33	31	$0.00
90620		0%	13	13	$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.