CENTER POINTE FAMILY MEDICINE LLC

$3.49M

Total Medicaid Paid

83,294

Total Claims

76,762

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		15,453	14,253	$1.34M
99213		13,054	12,101	$798K
99401		10,437	9,617	$328K
99204		1,805	1,704	$235K
99395		1,609	1,548	$154K
G0310	Immunize counsel 5-15 min	4,954	4,448	$151K
99203		1,282	1,226	$113K
99396		857	824	$88K
96127		4,596	4,408	$65K
G8510	Scr dep neg, no plan reqd	3,463	3,338	$37K
99215	Prolong outpt/office vis	285	265	$34K
G0101	Ca screen;pelvic/breast exam	1,059	1,024	$25K
G0312	Immunize couns < 21yr 5-15 m	752	705	$24K
96112		271	267	$22K
G8431	Pos clin depres scrn f/u doc	516	488	$15K
90460		525	467	$12K
96110		429	418	$10K
99393		94	76	$7K
99402		94	82	$5K
90471		290	268	$4K
87804		193	186	$3K
G0315	Counsel immune <21 5-15 m	74	74	$2K
87811		64	57	$2K
99406		260	241	$2K
93000		108	100	$2K
99000		1,138	1,081	$2K
99394		13	13	$1K
87880		91	86	$1K
99391		13	13	$1K
83036		95	89	$686.14
90472		29	28	$596.26
82044		56	52	$255.43
81025		40	25	$223.73
81002		97	87	$177.81
81003		12	12	$22.73
3074F		112	106	$0.00
3008F		12,650	11,186	$0.00
1111F		141	137	$0.00
1125F		61	59	$0.00
3079F		62	59	$0.00
90656		33	30	$0.00
3017F		14	13	$0.00
1159F		5,968	5,362	$0.00
3078F		69	65	$0.00
99072		76	74	$0.00

Medicaid Provider Spending