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NPI 9005057490
9005057490
9005057490 was paid $628K by Medicaid between Jan 2018 and Feb 2020, across 1 billing code. Its largest line is S5126, Attendant care services; per diem — 100% of everything it billed.
33Billing provider info9005057490
33aNPI9005057490
33bProvider type—
28Total paid$628K
24GClaims1,696
24DCodes billed1
24AFirst – last monthJan 2018 – Feb 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 | 725 | $304K | |
| 2019 | 834 | $311K | |
| 2020 | 137 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5126 | Attendant care services; per diem | 100% | 1,696 | 777 | $628K |
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.