PHILLIPS CLINIC COMPANY, LLC

$521K

Total Medicaid Paid

51,561

Total Claims

30,245

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		13,212	7,187	$213K
99214		9,475	5,446	$212K
99203		652	418	$18K
99212		2,182	711	$12K
99234		460	207	$10K
59400		33	12	$10K
11042		615	99	$8K
11043		204	28	$6K
99238		489	184	$4K
11721		753	498	$4K
99232		320	114	$4K
99490	Ccm add 20min	640	306	$3K
99204		130	51	$3K
87426		115	77	$3K
87428		70	44	$3K
20610		171	69	$2K
93010		2,379	1,420	$2K
99202		139	70	$2K
99222		69	25	$1K
99221		55	25	$606.64
11720		123	76	$476.23
87804		298	72	$455.74
J1100	Injection, dexamethasone sodium phosphate, 1 mg	257	82	$336.43
36415		472	240	$237.45
99442		22	19	$166.08
99231		73	15	$165.82
J1885	Injection, ketorolac tromethamine, per 15 mg	60	25	$118.08
J1040	Injection, methylprednisolone acetate, 80 mg	160	43	$59.08
96372		141	55	$20.72
3077F		758	567	$10.00
3080F		261	181	$10.00
3079F		571	439	$0.04
3075F		223	164	$0.02
3078F		1,050	819	$0.00
0502F		1,304	880	$0.00
1160F		2,944	2,025	$0.00
1159F		2,880	1,979	$0.00
3074F		1,029	800	$0.00
3008F		2,932	2,118	$0.00
1036F		1,698	1,156	$0.00
1125F		968	667	$0.00
1034F		579	384	$0.00
J1030	Injection, methylprednisolone acetate, 40 mg	32	26	$0.00
0500F		72	70	$0.00
1126F		437	315	$0.00
99000		54	37	$0.00

Medicaid Provider Spending