1962682690

1962682690 was paid $57K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is X4303, — 95% of everything it billed.

33Billing provider info1962682690

33aNPI1962682690

33bProvider type—

28Total paid$57K

24GClaims1,678

24DCodes billed2

24AFirst – last monthJan 2018 – Mar 2020

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	787	$27K
2019	753	$25K
2020	138	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
X4303		95%	1,326	708	$54K
X4306		4.6%	352	352	$3K

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.