PORTSMOUTH COMMUNITY HEALTH CENTER, INC.

$6.94M

Total Medicaid Paid

263,892

Total Claims

217,915

Beneficiaries

112

Codes Billed

2018-01

First Month

2024-12

Last Month

Year	Claims	Total Paid
2018	14,379	$365K
2019	40,516	$1.00M
2020	34,656	$952K
2021	40,814	$1.18M
2022	36,817	$1.27M
2023	47,065	$1.17M
2024	49,645	$1.01M

Code	Description	Claims	Beneficiaries	Total Paid
99213		46,728	42,254	$2.41M
99214		22,278	20,926	$1.61M
D7140		12,476	5,092	$531K
99212		7,109	6,676	$252K
D0330		4,135	3,245	$150K
99203		1,920	1,839	$141K
D0150		5,815	4,895	$132K
D0230		15,830	2,262	$95K
D0140		6,057	4,598	$95K
99204		882	848	$94K
83036		14,725	13,986	$87K
90837		748	461	$79K
96127		17,881	16,257	$76K
90832		1,301	1,091	$75K
99393		934	901	$70K
G0467	Fqhc visit, estab pt	7,470	6,243	$70K
99392		898	868	$70K
D0220		9,517	7,093	$66K
D1120		1,937	1,936	$56K
D1110		1,351	1,326	$51K
99396		583	566	$49K
99386		448	432	$46K
99385		464	456	$42K
36415		20,324	18,960	$42K
90863		1,073	941	$41K
90834		597	469	$39K
D1206		2,085	2,083	$38K
99202		724	688	$36K
99394		380	372	$32K
90791		246	226	$23K
99383		251	248	$22K
92551		2,123	2,064	$21K
90460		3,622	3,469	$21K
D0210		6,124	1,850	$20K
82962		8,255	7,766	$18K
99384		178	169	$16K
99395		174	168	$13K
80061		1,690	1,598	$11K
83655		933	890	$10K
D0272		533	532	$10K
D0120		553	551	$9K
96372		923	832	$9K
D0274		564	562	$9K
D4346		151	151	$9K
99391		117	100	$8K
D1351		242	78	$8K
3044F		2,401	2,269	$8K
81003		3,762	3,566	$7K
D4341		291	207	$7K
99490	Ccm add 20min	257	234	$7K
81025		1,028	941	$7K
99173		2,544	2,460	$6K
85018		2,621	2,533	$6K
D4342		184	111	$6K
90461		1,757	1,688	$5K
G0444	Depression screen annual	1,438	1,269	$5K
90471		911	839	$5K
96110		468	454	$5K
G0511	Ccm/bhi by rhc/fqhc 20min mo	281	270	$4K
D2392		41	30	$3K
0012A		114	113	$3K
3079F		792	767	$3K
3077F		842	808	$3K
97802		135	123	$3K
90792		19	15	$2K
3074F		742	722	$2K
3046F		538	513	$2K
3078F		718	697	$2K
90651		336	333	$2K
G2025	Dis site tele svcs rhc/fqhc	199	174	$2K
0011A		114	114	$2K
99205	Prolong outpt/office vis	13	13	$2K
3075F		462	443	$2K
82270		816	778	$2K
3080F		522	499	$2K
3051F		467	445	$2K
99382		18	18	$1K
91320		18	16	$1K
99211		183	178	$1K
90619		279	275	$1K
3052F		285	265	$1K
D0270		108	107	$999.34
J3301	Triamcinolone acet inj nos	232	208	$937.21
92250		27	27	$743.23
90620		67	67	$491.13
0002A		14	14	$420.68
J1885	Ketorolac tromethamine inj	198	189	$347.62
90677		25	25	$313.16
0001A		15	15	$300.22
0072A		14	12	$295.51
36416		1,929	1,862	$246.05
90633		116	114	$243.29
90480		19	17	$229.02
90686		1,073	1,002	$212.11
87430		26	25	$200.25
87400		42	28	$155.96
G0466	Fqhc visit new patient	15	12	$136.15
99406		12	12	$115.61
86580		15	15	$86.10
90710		98	94	$66.77
90715		70	68	$66.60
90658		145	141	$64.04
80053		15	13	$42.24
90696		56	56	$22.53
90670		13	12	$11.12
90700		12	12	$11.11
91301		263	259	$2.29
91300		63	61	$0.50
91307		53	45	$0.36
D4910		14	14	$0.00
3008F		186	179	$0.00
D4355		12	12	$0.00

Medicaid Provider Spending

Monthly Spending Trend

Yearly Breakdown

Billing Codes