RAYMUNDO M GARCIA LORA M.D., INC

$2.90M

Total Medicaid Paid

111,655

Total Claims

109,899

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		14,624	14,061	$476K
96156		4,856	4,841	$394K
97802		13,472	13,437	$279K
99394		3,689	3,685	$218K
99393		3,658	3,658	$171K
96110		2,894	2,278	$153K
99213		7,427	7,186	$147K
99392		3,247	3,233	$131K
99395		997	997	$97K
G9920	Scrning perf and negative	4,505	4,500	$77K
99391		1,546	1,534	$77K
99384		1,238	1,238	$76K
G0442	Annual alcohol screen 15 min	5,887	5,874	$70K
99383		1,101	1,101	$61K
D1206		3,119	3,100	$56K
96151		2,076	2,058	$47K
87110		2,548	2,527	$33K
99385		301	301	$26K
90686		3,530	3,523	$25K
99406		3,981	3,976	$23K
96150		948	946	$22K
G8431	Pos clin depres scrn f/u doc	805	802	$19K
G8510	Scr dep neg, no plan reqd	2,453	2,450	$18K
90713		2,260	2,248	$17K
90700		2,214	2,202	$17K
99204		96	87	$13K
90648		1,618	1,608	$13K
90734		1,462	1,458	$11K
90670		1,201	1,185	$11K
99211		902	867	$10K
90715		1,411	1,410	$10K
99382		163	163	$10K
90651		1,187	1,186	$9K
90655		1,152	1,147	$9K
90716		988	978	$8K
G0444	Depression screen annual	454	453	$7K
90707		938	930	$7K
90633		912	904	$7K
96127		1,370	1,365	$6K
90744		953	947	$6K
99460		118	118	$6K
90680		716	709	$5K
90656		605	605	$5K
H0049	Alcohol/drug screening	167	166	$4K
99212		186	186	$4K
90671		391	390	$2K
99245		12	12	$1K
99203		17	17	$948.69
87491		28	28	$872.76
0004A		14	14	$560.00
87880		14	14	$97.86
99177		406	406	$0.00
99072		798	790	$0.00

Medicaid Provider Spending