A263657300

A263657300 was paid $515K by Medicaid between Jan 2018 and Sep 2019, across 5 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 70% of everything it billed.

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	13,122	$249K
2019	6,263	$266K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5130	Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes	70%	9,324	1,856	$360K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	16%	3,461	701	$84K
A0100	Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi	10%	1,362	271	$53K
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	1.8%	1,697	353	$9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1.6%	3,541	349	$8K

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.