MARIA MEDICAL GROUP, LLC
NPI: 1053740092
· WICHITA, KS 67226
· 261QU0200X
$1.72M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,063 |
$116K |
| 2019 |
4,214 |
$159K |
| 2020 |
3,947 |
$124K |
| 2021 |
7,715 |
$263K |
| 2022 |
12,276 |
$455K |
| 2023 |
7,930 |
$302K |
| 2024 |
8,968 |
$300K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
12,155 |
11,156 |
$583K |
| 99204 |
|
5,215 |
4,977 |
$434K |
| 87811 |
|
5,662 |
5,413 |
$173K |
| 99213 |
|
4,623 |
4,322 |
$149K |
| 99203 |
|
2,450 |
2,388 |
$148K |
| 87804 |
|
5,374 |
2,627 |
$65K |
| 96372 |
|
3,447 |
3,112 |
$39K |
| 87502 |
|
439 |
427 |
$37K |
| 87634 |
|
536 |
530 |
$35K |
| 87880 |
|
3,018 |
2,943 |
$26K |
| 0241U |
|
96 |
95 |
$11K |
| 87635 |
|
199 |
194 |
$8K |
| J1100 |
Dexamethasone sodium phos |
1,956 |
1,805 |
$5K |
| 94640 |
|
234 |
210 |
$2K |
| 87807 |
|
103 |
101 |
$1K |
| 81003 |
|
719 |
684 |
$918.43 |
| 99202 |
|
16 |
13 |
$455.94 |
| 87491 |
|
13 |
13 |
$453.46 |
| 87591 |
|
13 |
13 |
$453.46 |
| 87661 |
|
13 |
13 |
$447.61 |
| 71046 |
|
17 |
14 |
$212.52 |
| J7620 |
Albuterol ipratrop non-comp |
189 |
170 |
$135.06 |
| 81025 |
|
14 |
12 |
$89.16 |
| 94760 |
|
214 |
197 |
$73.30 |
| J1885 |
Ketorolac tromethamine inj |
29 |
29 |
$72.30 |
| J7613 |
Albuterol non-comp unit |
13 |
13 |
$61.17 |
| 85025 |
|
12 |
12 |
$53.17 |
| 36415 |
|
85 |
75 |
$1.08 |
| G8427 |
Docrev cur meds by elig clin |
46 |
25 |
$0.00 |
| 99000 |
|
1,213 |
1,127 |
$0.00 |