PRIVIA MEDICAL GROUP INDIANA, LLC
NPI: 1013912286
· ELKHART, IN 46514
· 261QM1300X
$2.57M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
27,191 |
$126K |
| 2019 |
26,093 |
$285K |
| 2020 |
21,471 |
$309K |
| 2021 |
22,347 |
$426K |
| 2022 |
23,374 |
$449K |
| 2023 |
32,305 |
$430K |
| 2024 |
34,746 |
$543K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
41,036 |
35,206 |
$1.60M |
| 99213 |
|
12,939 |
11,078 |
$403K |
| 99203 |
|
1,260 |
1,114 |
$59K |
| 96413 |
|
1,571 |
805 |
$54K |
| 36415 |
|
25,824 |
22,055 |
$46K |
| 80053 |
|
9,108 |
7,709 |
$38K |
| 85025 |
|
13,178 |
10,979 |
$34K |
| 84443 |
|
3,782 |
3,418 |
$29K |
| 84481 |
|
2,951 |
2,679 |
$28K |
| 99215 |
Prolong outpt/office vis |
430 |
402 |
$22K |
| 99204 |
|
495 |
443 |
$20K |
| 84439 |
|
4,099 |
3,725 |
$19K |
| 83036 |
|
4,664 |
4,254 |
$18K |
| J0585 |
Injection,onabotulinumtoxina |
31 |
25 |
$18K |
| 80048 |
|
6,257 |
5,545 |
$16K |
| 95251 |
|
1,014 |
905 |
$14K |
| 95816 |
|
170 |
158 |
$9K |
| 99205 |
Prolong outpt/office vis |
74 |
65 |
$7K |
| 96367 |
|
433 |
195 |
$7K |
| 99307 |
|
869 |
766 |
$7K |
| 80061 |
|
1,411 |
1,309 |
$7K |
| 99308 |
|
737 |
612 |
$6K |
| 83721 |
|
2,551 |
2,211 |
$6K |
| 97803 |
|
166 |
148 |
$5K |
| 99396 |
|
99 |
90 |
$5K |
| 99222 |
|
89 |
79 |
$5K |
| 96372 |
|
859 |
476 |
$5K |
| 82728 |
|
719 |
662 |
$5K |
| 86140 |
|
1,675 |
1,544 |
$4K |
| 83718 |
|
2,415 |
2,092 |
$4K |
| 11721 |
|
455 |
402 |
$4K |
| 87426 |
|
171 |
131 |
$4K |
| 87635 |
|
131 |
112 |
$4K |
| 85651 |
|
1,974 |
1,798 |
$4K |
| 43239 |
|
77 |
63 |
$3K |
| 87804 |
|
217 |
161 |
$3K |
| 99212 |
|
204 |
168 |
$3K |
| 84478 |
|
2,338 |
2,036 |
$3K |
| 99305 |
|
104 |
86 |
$2K |
| 87880 |
|
164 |
142 |
$2K |
| 90682 |
|
151 |
130 |
$2K |
| J2469 |
Palonosetron hcl |
53 |
14 |
$2K |
| 95819 |
|
12 |
12 |
$2K |
| 51798 |
|
467 |
375 |
$2K |
| 96365 |
|
90 |
65 |
$2K |
| 90471 |
|
319 |
255 |
$1K |
| 80050 |
|
211 |
188 |
$1K |
| 20610 |
|
129 |
52 |
$1K |
| 90686 |
|
170 |
138 |
$1K |
| 95117 |
|
256 |
75 |
$1K |
| 84075 |
|
1,784 |
1,558 |
$953.81 |
| 96375 |
|
103 |
41 |
$952.52 |
| 80305 |
|
252 |
234 |
$921.04 |
| 84450 |
|
2,002 |
1,702 |
$915.79 |
| 96417 |
|
28 |
12 |
$841.75 |
| 99232 |
|
21 |
12 |
$809.30 |
| 84460 |
|
2,007 |
1,702 |
$679.87 |
| 92014 |
|
15 |
14 |
$672.33 |
| 92015 |
|
96 |
88 |
$668.27 |
| 82040 |
|
1,993 |
1,689 |
$653.06 |
| 84466 |
|
134 |
126 |
$647.48 |
| 90750 |
|
47 |
30 |
$577.09 |
| 0011A |
|
51 |
36 |
$483.73 |
| 84155 |
|
2,007 |
1,702 |
$475.97 |
| 82570 |
|
211 |
202 |
$473.16 |
| 82043 |
|
162 |
156 |
$445.73 |
| 82306 |
|
125 |
114 |
$431.19 |
| 0012A |
|
42 |
33 |
$409.31 |
| 92557 |
|
30 |
24 |
$406.69 |
| 83540 |
|
134 |
126 |
$339.63 |
| 87428 |
|
12 |
12 |
$309.40 |
| 0064A |
|
94 |
86 |
$297.68 |
| 90662 |
|
249 |
219 |
$290.51 |
| 93010 |
|
81 |
63 |
$286.14 |
| 90732 |
|
13 |
12 |
$266.94 |
| 0004A |
|
22 |
14 |
$260.47 |
| 99406 |
|
16 |
14 |
$232.13 |
| 87420 |
|
22 |
19 |
$211.50 |
| 0134A |
|
33 |
16 |
$184.50 |
| 3044F |
|
517 |
402 |
$180.00 |
| 81001 |
|
384 |
335 |
$174.30 |
| 96127 |
|
67 |
64 |
$174.15 |
| 83735 |
|
197 |
146 |
$163.14 |
| J3301 |
Triamcinolone acet inj nos |
148 |
111 |
$135.96 |
| J1030 |
Methylprednisolone 40 mg inj |
34 |
29 |
$107.35 |
| G2211 |
Complex e/m visit add on |
3,358 |
2,971 |
$74.36 |
| 86200 |
|
45 |
39 |
$64.14 |
| J1100 |
Dexamethasone sodium phos |
93 |
40 |
$57.03 |
| J7050 |
Normal saline solution infus |
1,094 |
268 |
$45.91 |
| 82607 |
|
26 |
25 |
$45.82 |
| 81002 |
|
27 |
24 |
$41.76 |
| 93005 |
|
14 |
12 |
$41.37 |
| 86431 |
|
59 |
51 |
$40.12 |
| 85610 |
|
117 |
92 |
$28.64 |
| 81003 |
|
13 |
12 |
$18.88 |
| 3078F |
|
7,489 |
6,605 |
$0.00 |
| G0444 |
Depression screen annual |
222 |
192 |
$0.00 |
| 3077F |
|
367 |
341 |
$0.00 |
| 71046 |
|
12 |
12 |
$0.00 |
| 84550 |
|
14 |
13 |
$0.00 |
| 99497 |
|
45 |
37 |
$0.00 |
| 3074F |
|
7,873 |
6,998 |
$0.00 |
| G0439 |
Ppps, subseq visit |
304 |
270 |
$0.00 |
| 3080F |
|
156 |
147 |
$0.00 |
| G0008 |
Admin influenza virus vac |
562 |
487 |
$0.00 |
| 3079F |
|
2,409 |
2,181 |
$0.00 |
| 3075F |
|
1,294 |
1,137 |
$0.00 |
| 99070 |
|
91 |
39 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
97 |
78 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
14 |
13 |
$0.00 |