CHARLES E WEIDMANN MD A PROFESSIONAL MEDICAL CORPORATION

$174K

Total Medicaid Paid

16,350

Total Claims

15,591

Beneficiaries

35

Codes Billed

2018-01

First Month

2022-12

Last Month

Authorized Official	WEIDMANN, CHARLES (M.D., OWNER)
NPI Enumeration Date	12/12/2007

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,716	2,557	$148K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	375	348	$15K
86141		1,419	1,352	$6K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	210	192	$1K
20552		187	175	$1K
J7050	Infusion, normal saline solution, 250 cc	790	748	$601.61
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1,277	1,217	$483.86
82977		1,030	989	$325.70
84520		1,139	1,092	$276.83
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	15	13	$195.47
82565		1,113	1,068	$188.00
84460		995	959	$180.62
84450		995	959	$176.21
85651		1,204	1,152	$161.23
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	14	13	$156.43
82947		988	953	$136.75
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	13	12	$113.35
20610		19	12	$109.82
83036	Hemoglobin; glycosylated (A1C)	40	37	$82.67
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	158	149	$48.47
36415	Collection of venous blood by venipuncture	715	686	$39.90
82040		230	226	$25.72
82150		28	28	$6.35
84075		28	28	$5.08
82247		28	28	$4.92
84550		28	28	$4.43
84155		27	27	$3.60
J0897	Injection, denosumab, 1 mg	13	13	$0.01
82435		51	50	$0.00
83735		79	78	$0.00
84132		87	79	$0.00
82310		105	105	$0.00
83970		120	114	$0.00
84295		87	79	$0.00
20611		27	25	$0.00

Medicaid Provider Spending