DAYTON INTERNAL MEDICINE CLINIC, INC.
NPI: 1033322334
· DAYTON, OH 45439
· 207R00000X
$1.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,283 |
$306K |
| 2019 |
4,271 |
$177K |
| 2020 |
2,799 |
$126K |
| 2021 |
6,361 |
$235K |
| 2022 |
8,532 |
$318K |
| 2023 |
2,947 |
$92K |
| 2024 |
1,319 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,100 |
7,530 |
$424K |
| 99213 |
|
10,708 |
9,859 |
$381K |
| 99458 |
|
3,705 |
3,447 |
$193K |
| 99457 |
|
4,208 |
3,847 |
$95K |
| 99454 |
|
2,108 |
1,922 |
$72K |
| 99396 |
|
426 |
399 |
$28K |
| 90674 |
|
1,008 |
957 |
$23K |
| 99204 |
|
283 |
265 |
$21K |
| 90471 |
|
927 |
878 |
$15K |
| 96132 |
|
105 |
105 |
$9K |
| 96118 |
|
133 |
129 |
$7K |
| 99203 |
|
119 |
117 |
$6K |
| 99215 |
Prolong outpt/office vis |
72 |
63 |
$5K |
| 90792 |
|
45 |
45 |
$4K |
| 99453 |
|
287 |
278 |
$3K |
| 96136 |
|
105 |
105 |
$3K |
| 99212 |
|
137 |
126 |
$3K |
| 87635 |
|
59 |
50 |
$3K |
| 96372 |
|
214 |
171 |
$2K |
| 99205 |
Prolong outpt/office vis |
28 |
26 |
$2K |
| 93000 |
|
141 |
135 |
$2K |
| 90661 |
|
61 |
52 |
$1K |
| 0004A |
|
12 |
12 |
$1K |
| G0008 |
Admin influenza virus vac |
264 |
246 |
$966.53 |
| 99401 |
|
33 |
33 |
$737.80 |
| 0064A |
|
24 |
24 |
$451.92 |
| 0124A |
|
13 |
12 |
$353.98 |
| 94010 |
|
13 |
13 |
$274.67 |
| G0439 |
Ppps, subseq visit |
26 |
25 |
$109.91 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
37 |
34 |
$86.70 |
| J1071 |
Inj testosterone cypionate |
15 |
12 |
$80.80 |
| Q2039 |
Influenza virus vaccine, nos |
18 |
18 |
$52.00 |
| 91300 |
|
41 |
33 |
$0.21 |
| 91312 |
|
13 |
12 |
$0.10 |
| 91306 |
|
24 |
24 |
$0.07 |