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NPI A784457500
A784457500
A784457500 was paid $15.52M by Medicaid between Nov 2018 and Oct 2019, across 3 billing codes. Its largest line is T2028, Specialized supply, not otherwise specified, waiver — 100% of everything it billed.
33Billing provider infoA784457500
33aNPIA784457500
33bProvider type—
28Total paid$15.52M
24GClaims217,947
24DCodes billed3
24AFirst – last monthNov 2018 – Oct 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% 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 | 12,023 | $653K | |
| 2019 | 205,924 | $14.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2028 | Specialized supply, not otherwise specified, waiver | 100% | 217,720 | 5,459 | $15.52M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | <1% | 90 | 78 | $2K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 0% | 137 | 25 | $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.