SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC

$4.67M

Total Medicaid Paid

98,684

Total Claims

68,921

Beneficiaries

44

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99291		17,852	8,723	$2.15M
99214		8,808	6,864	$474K
99233	Prolong inpt eval add15 m	7,183	3,720	$367K
99232		9,965	4,447	$315K
99213		5,672	4,397	$199K
99255		1,424	1,132	$171K
93010		28,419	25,315	$142K
99223	Prolong inpt eval add15 m	1,670	1,378	$139K
15002		1,389	872	$111K
99215	Prolong outpt/office vis	1,185	1,075	$98K
15004		930	570	$90K
95816		2,659	2,039	$68K
93306		1,841	1,715	$63K
15003		404	242	$46K
15274		267	159	$38K
99204		387	307	$36K
95819		881	734	$26K
99231		1,316	702	$24K
15273		292	173	$23K
99203		286	221	$17K
99222		219	180	$17K
95974		312	123	$14K
99205	Prolong outpt/office vis	141	77	$8K
15275		284	174	$8K
93000		619	549	$5K
99245		39	28	$5K
99212		296	210	$5K
15271		163	117	$5K
99292		47	27	$3K
99221		87	69	$3K
83036		405	331	$2K
95977		119	28	$761.71
95822		49	26	$633.76
99152		12	12	$347.14
93018		28	27	$330.87
93296		16	14	$266.59
G8427	Docrev cur meds by elig clin	2,041	1,538	$0.00
G8731	Pain neg no plan	449	301	$0.00
G8730	Pain doc pos and plan	78	41	$0.00
G8783	Bp scrn perf rec interval	35	24	$0.00
G9692	Hosp recd by pt dur msmt per	14	13	$0.00
1123F		337	203	$0.00
G9903	Pt scrn tbco id as non user	32	12	$0.00
1036F		32	12	$0.00

Medicaid Provider Spending