A658178000

A658178000 was paid $6.12M by Medicaid between Jan 2018 and Oct 2019, across 3 billing codes. Its largest line is S5100, Day care services, adult; per 15 minutes — 61% 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	100,267	$1.59M
2019	76,370	$4.54M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5100	Day care services, adult; per 15 minutes	61%	82,787	6,122	$3.73M
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	30%	87,166	6,525	$1.86M
S5102	Adult day care, billed per dayDay care services, adult; per diem	8.8%	6,684	480	$539K

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.