INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI: 1104430974
· GRAND JUNCTION, CO 81501
· 207R00000X
$904K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
108 |
$6K |
| 2022 |
416 |
$30K |
| 2023 |
12,505 |
$605K |
| 2024 |
5,681 |
$263K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
1,152 |
378 |
$298K |
| 99214 |
|
2,410 |
2,172 |
$122K |
| 99213 |
|
1,921 |
1,649 |
$85K |
| 76816 |
|
1,227 |
970 |
$68K |
| 99215 |
Prolong outpt/office vis |
427 |
410 |
$49K |
| 93010 |
|
6,221 |
5,516 |
$45K |
| 93306 |
|
471 |
442 |
$33K |
| 99204 |
|
220 |
198 |
$31K |
| 64615 |
|
577 |
378 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
432 |
192 |
$26K |
| 97803 |
|
416 |
373 |
$19K |
| 97110 |
|
354 |
186 |
$14K |
| 11042 |
|
546 |
316 |
$14K |
| 76811 |
|
68 |
65 |
$10K |
| 93000 |
|
660 |
593 |
$10K |
| 76819 |
|
115 |
79 |
$9K |
| 99291 |
|
47 |
25 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
56 |
50 |
$7K |
| 99212 |
|
159 |
140 |
$6K |
| 90792 |
|
46 |
24 |
$4K |
| 99203 |
|
52 |
40 |
$3K |
| 99395 |
|
27 |
26 |
$3K |
| 93296 |
|
175 |
163 |
$3K |
| 94726 |
|
55 |
51 |
$2K |
| 94729 |
|
55 |
51 |
$2K |
| 95886 |
|
18 |
15 |
$1K |
| 93298 |
|
71 |
67 |
$1K |
| 93294 |
|
62 |
56 |
$634.05 |
| 90471 |
|
16 |
14 |
$422.76 |
| 83036 |
|
30 |
26 |
$324.77 |
| 90686 |
|
16 |
14 |
$289.08 |
| J3301 |
Triamcinolone acet inj nos |
139 |
123 |
$279.81 |
| G2066 |
Inter devc remote 30d |
139 |
131 |
$205.92 |
| G2211 |
Complex e/m visit add on |
182 |
174 |
$102.79 |
| 36415 |
|
29 |
27 |
$88.16 |
| J0702 |
Betamethasone acet&sod phosp |
17 |
12 |
$28.52 |
| J1100 |
Dexamethasone sodium phos |
102 |
95 |
$10.89 |