1962514877

1962514877 was paid $6.13M by Medicaid between Jan 2018 and Aug 2019, across 4 billing codes. Its largest line is J2315, Injection, naltrexone, depot form, 1 mg — 68% of everything it billed.

33Billing provider info1962514877

33aNPI1962514877

33bProvider type—

28Total paid$6.13M

24GClaims3,939

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2019

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	2,604	$4.23M
2019	1,335	$1.90M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J2315	Injection, naltrexone, depot form, 1 mg	68%	3,241	2,960	$4.17M
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	30%	626	588	$1.87M
J0585	Injection, onabotulinumtoxina, 1 unit	1.1%	57	57	$66K
J1729	Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg	<1%	15	14	$30K

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.