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NPI A637163000
A637163000
A637163000 was paid $1.10M by Medicaid between Mar 2018 and Oct 2019, across 1 billing code. Its largest line is T2039, Vehicle modifications, waiver; per service — 100% of everything it billed.
33Billing provider infoA637163000
33aNPIA637163000
33bProvider type—
28Total paid$1.10M
24GClaims153
24DCodes billed1
24AFirst – last monthMar 2018 – Oct 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T2039 with only 1 total codes billed. Highly concentrated billing profile.
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 | 101 | $686K | |
| 2019 | 52 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2039 | Vehicle modifications, waiver; per service | 100% | 153 | 140 | $1.10M |
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.