BOARD MEMBERS-CRAWFORD COUNTY GOVERNMENT
NPI: 1013262914
· ROBINSON, IL 62454
· Public Health or Welfare Agency
· NPI assigned 07/17/2012
$250K
Total Medicaid Paid
Provider Details
| Authorized Official | TRACY, DARLA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/17/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,833 |
$22K |
| 2019 |
3,634 |
$41K |
| 2020 |
2,656 |
$21K |
| 2021 |
3,500 |
$45K |
| 2022 |
3,605 |
$47K |
| 2023 |
3,019 |
$45K |
| 2024 |
2,111 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,595 |
5,848 |
$77K |
| 90670 |
|
1,810 |
1,626 |
$20K |
| 90647 |
|
1,794 |
1,598 |
$20K |
| 90723 |
|
1,747 |
1,592 |
$20K |
| 90633 |
|
1,672 |
1,459 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
684 |
$14K |
| 90686 |
|
906 |
825 |
$10K |
| 90734 |
|
572 |
506 |
$8K |
| 0012A |
|
169 |
167 |
$7K |
| 90677 |
|
386 |
348 |
$6K |
| 90681 |
|
525 |
465 |
$6K |
| 0011A |
|
161 |
161 |
$6K |
| 0001A |
|
124 |
122 |
$5K |
| 0002A |
|
111 |
110 |
$5K |
| 90715 |
|
278 |
248 |
$3K |
| 90710 |
|
233 |
204 |
$3K |
| D1206 |
Topical application of fluoride varnish |
122 |
111 |
$3K |
| 90696 |
|
238 |
213 |
$3K |
| 36416 |
|
560 |
508 |
$2K |
| 90716 |
|
153 |
135 |
$2K |
| 90688 |
|
144 |
131 |
$2K |
| 90651 |
|
96 |
78 |
$2K |
| 90649 |
|
170 |
163 |
$2K |
| 90707 |
|
96 |
80 |
$1K |
| 90671 |
|
67 |
62 |
$1K |
| 90656 |
|
53 |
53 |
$969.87 |
| 0031A |
|
23 |
23 |
$969.22 |
| 0064A |
|
19 |
19 |
$800.66 |
| 90700 |
|
65 |
62 |
$755.49 |
| 90620 |
|
34 |
29 |
$680.05 |
| 86580 |
|
78 |
67 |
$382.12 |
| 90685 |
|
40 |
39 |
$296.80 |
| H1000 |
Prenatal care, at-risk assessment |
16 |
16 |
$233.60 |
| 91301 |
|
338 |
333 |
$0.00 |
| 91303 |
|
22 |
22 |
$0.00 |
| 91300 |
|
200 |
187 |
$0.00 |