Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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A000069800

A000069800 was paid $22.85M by Medicaid between Jan 2018 and Oct 2019, across 14 billing codes. Its largest line is T2023, Targeted case management; per month — 45% of everything it billed.

33Billing provider infoA000069800
33aNPIA000069800
33bProvider type—
28Total paid$22.85M
24GClaims171,003
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2019
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018101,595$13.83M
201969,408$9.02M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2023 Targeted case management; per month 45% 19,940 19,817 $10.21M
T1016 Case management, each 15 minutes 30% 114,589 33,650 $6.80M
H0040 Assertive community treatment program, per diem 16% 19,481 1,994 $3.56M
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 7.0% 551 463 $1.60M
S5120 Chore services; per 15 minutes 1.2% 4,006 1,211 $272K
T2003 Non-emergency transportation, per tripNon-emergency transportation; encounter/trip <1% 5,764 4,313 $215K
A0080 Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest <1% 2,846 701 $88K
S0215 Non-emergency transportation; mileage, per mile <1% 1,753 253 $45K
A0090 Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest <1% 1,685 660 $42K
A0180 Non-emergency transportation: ancillary: lodging-recipient <1% 29 27 $4K
A0190 Non-emergency transportation: ancillary: meals-recipient <1% 199 128 $3K
A0110 Non-emergency transportation and bus, intra or inter state carrier <1% 86 81 $3K
2 more codes
S5130 Homemaker services, billed per 15 minutes <1% 33 $1K
X5621 0% 41 $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.