PEDIAHEALTH MEDICAL GROUP, INC.

$774K

Total Medicaid Paid

57,979

Total Claims

56,264

Beneficiaries

62

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
96110		6,450	6,376	$272K
99213		7,814	7,143	$53K
99214		2,753	2,532	$47K
99188		1,968	1,956	$32K
99393		1,026	1,019	$29K
96127		4,636	4,575	$26K
99394		1,140	1,138	$25K
90656		2,004	1,996	$22K
99429		935	924	$22K
94010		675	635	$20K
G0447	Behavior counsel obesity 15m	651	641	$17K
99391		355	330	$17K
99392		960	943	$17K
94016		652	617	$16K
99203		237	230	$16K
G0442	Annual alcohol screen 15 min	740	739	$15K
G0443	Brief alcohol misuse counsel	647	647	$13K
G8510	Scr dep neg, no plan reqd	660	657	$11K
90686		1,032	1,025	$11K
92551		4,273	4,249	$9K
99354		123	116	$9K
99244		74	71	$7K
99212		1,344	1,266	$6K
90651		320	314	$6K
90670		510	497	$6K
99406		432	431	$6K
99211		3,233	3,040	$5K
90480		141	141	$4K
99395		187	187	$4K
D1206		160	160	$4K
97802		93	92	$3K
90655		284	283	$3K
90734		275	275	$3K
99381		31	26	$2K
86580		3,421	3,358	$2K
91321		56	56	$2K
90680		124	121	$2K
90633		154	154	$2K
90698		129	129	$1K
90744		129	128	$1K
90620		122	122	$1K
91322		25	25	$1K
G2012	Brief check in by md/qhp	58	55	$874.50
90460		4,878	4,811	$874.41
91320		58	58	$771.10
99407		30	30	$735.30
90471		464	444	$566.92
90710		40	39	$447.48
90649		14	14	$293.91
90685		26	26	$285.05
99383		12	12	$275.32
90700		26	26	$265.67
99382		14	14	$184.63
90707		14	14	$154.98
90648		14	14	$148.34
90713		13	12	$133.53
90716		13	13	$132.84
91319		17	17	$65.84
99401		460	460	$23.22
90472		169	167	$4.01
90461		656	646	$0.00
G0446	Intens behave ther cardio dx	28	28	$0.00

Medicaid Provider Spending