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NPI 1992140990
NPI deactivated
1992140990
1992140990 was paid $397K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 65% of everything it billed.
33Billing provider info1992140990
33aNPI1992140990
33bProvider type—
28Total paid$397K
24GClaims8,389
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
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 | 191 | $12K | |
| 2019 | 2,264 | $137K | |
| 2020 | 1,743 | $103K | |
| 2021 | 1,242 | $78K | |
| 2022 | 1,529 | $16K | |
| 2023 | 790 | $18K | |
| 2024incomplete | 630 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9005 | Coordinated care fee, risk adjusted maintenance | 65% | 6,133 | 5,473 | $259K |
| S5120 | Chore services; per 15 minutes | 30% | 1,958 | 1,646 | $118K |
| G9004 | Coordinated care fee, risk adjusted low, initial | 5.0% | 298 | 240 | $20K |
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.