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NPI 5108005500
5108005500
5108005500 was paid $3.60M by Medicaid between Jan 2018 and Jan 2020, across 9 billing codes. Its largest line is G9149, National committee for quality assurance - level 2 medical home — 69% of everything it billed.
33Billing provider info5108005500
33aNPI5108005500
33bProvider type—
28Total paid$3.60M
24GClaims24,846
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 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 | 12,554 | $1.74M | |
| 2019 | 11,606 | $1.74M | |
| 2020 | 686 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9149 | National committee for quality assurance - level 2 medical home | 69% | 13,932 | 12,167 | $2.48M |
| G9148 | National committee for quality assurance - level 1 medical home | 17% | 2,440 | 2,126 | $604K |
| G9150 | National committee for quality assurance - level 3 medical home | 14% | 7,829 | 6,814 | $515K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 138 | 73 | $0.00 |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 0% | 69 | 33 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 90 | 41 | $0.00 |
| H0046 | Mental health services, not otherwise specified | 0% | 104 | 53 | $0.00 |
| H2014 | Skills training and development, per 15 minutes | 0% | 74 | 32 | $0.00 |
| H2021 | Community-based wrap-around services, per 15 minutes | 0% | 170 | 68 | $0.00 |
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.