1992755011

1992755011 was paid $150K by Medicaid between Jan 2018 and Mar 2021, across 9 billing codes. Its largest line is X1915, — 38% of everything it billed.

33Billing provider info1992755011

33aNPI1992755011

33bProvider type—

28Total paid$150K

24GClaims5,498

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2021

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	2,404	$63K
2019	1,415	$41K
2020	1,399	$39K
2021	280	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
X1915		38%	752	742	$57K
T5999	Supply, not otherwise specified	15%	2,274	1,685	$22K
A4554	Disposable underpads, all sizes	14%	652	589	$21K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	12%	367	298	$19K
T2028	Specialized supply, not otherwise specified, waiver	10%	214	203	$15K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	5.8%	177	157	$9K
A4927	Gloves, non-sterile, per 100	3.8%	1,008	748	$6K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	40	37	$1K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	<1%	14	12	$998.40

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.