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NPI A454475100
A454475100
A454475100 was paid $1.56M by Medicaid between Jan 2018 and Sep 2019, across 7 billing codes. Its largest line is T2020, Day habilitation, waiver; per diem — 31% of everything it billed.
33Billing provider infoA454475100
33aNPIA454475100
33bProvider type—
28Total paid$1.56M
24GClaims44,046
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2019
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 | 16,463 | $707K | |
| 2019 | 27,583 | $856K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2020 | Day habilitation, waiver; per diem | 31% | 7,219 | 597 | $479K |
| T2014 | Habilitation, prevocational, waiver; per diem | 26% | 7,883 | 787 | $406K |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | 18% | 6,644 | 595 | $280K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 16% | 14,310 | 1,106 | $252K |
| T2015 | Habilitation, prevocational, waiver; per hour | 5.5% | 4,476 | 424 | $86K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 3.5% | 3,020 | 293 | $54K |
| T2002 | Non-emergency transportation; per diem | <1% | 494 | 79 | $6K |
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.