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NPI A669467502
A669467502
A669467502 was paid $39.56M by Medicaid between Jan 2018 and Aug 2019, across 3 billing codes. Its largest line is T2028, Specialized supply, not otherwise specified, waiver — 97% of everything it billed.
33Billing provider infoA669467502
33aNPIA669467502
33bProvider type—
28Total paid$39.56M
24GClaims660,841
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code T2028 with only 3 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 | 574,060 | $35.12M | |
| 2019 | 86,781 | $4.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2028 | Specialized supply, not otherwise specified, waiver | 97% | 637,524 | 13,554 | $38.28M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 3.2% | 22,481 | 1,850 | $1.26M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | <1% | 836 | 597 | $19K |
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.