Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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A562786900

A562786900 was paid $2.89M by Medicaid between Jan 2018 and Sep 2019, across 6 billing codes. Its largest line is T2014, Habilitation, prevocational, waiver; per diem — 57% of everything it billed.

33Billing provider infoA562786900
33aNPIA562786900
33bProvider type—
28Total paid$2.89M
24GClaims65,768
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2019
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
201840,837$1.78M
201924,931$1.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2014 Habilitation, prevocational, waiver; per diem 57% 25,770 2,127 $1.64M
T2003 Non-emergency transportation, per tripNon-emergency transportation; encounter/trip 19% 26,495 2,023 $537K
T2019 Habilitation, supported employment, waiver; per 15 minutes 7.2% 4,407 476 $209K
S5100 Day care services, adult; per 15 minutes 7.2% 3,211 401 $209K
T2015 Habilitation, prevocational, waiver; per hour 6.4% 4,066 699 $186K
S5102 Adult day care, billed per dayDay care services, adult; per diem 3.6% 1,819 329 $103K

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.