1902055643

1902055643 was paid $21K by Medicaid between Jan 2018 and May 2018, across 2 billing codes. Its largest line is 99412, — 65% of everything it billed.

33Billing provider info1902055643

33aNPI1902055643

33bProvider type—

28Total paid$21K

24GClaims1,271

24DCodes billed2

24AFirst – last monthJan 2018 – May 2018

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	1,271	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99412		65%	745	337	$14K
99411		35%	526	266	$7K

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.