A507860100

A507860100 was paid $248K by Medicaid between Jan 2018 and Jan 2019, across 1 billing code. Its largest line is T2028, Specialized supply, not otherwise specified, waiver — 100% 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	797	$222K
2019	36	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2028	Specialized supply, not otherwise specified, waiver	100%	833	313	$248K

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.