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NPI A627402100
A627402100
A627402100 was paid $152K by Medicaid between Jan 2018 and Sep 2019, across 3 billing codes. Its largest line is S5120, Chore services; per 15 minutes — 100% of everything it billed.
33Billing provider infoA627402100
33aNPIA627402100
33bProvider type—
28Total paid$152K
24GClaims4,761
24DCodes billed3
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 | 3,022 | $64K | |
| 2019 | 1,739 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5120 | Chore services; per 15 minutes | 100% | 4,277 | 1,324 | $152K |
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | 0% | 242 | 40 | $0.00 |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 0% | 242 | 40 | $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.