CHARLIE Y SONIDO M D LLC

$1.47M

Total Medicaid Paid

244,086

Total Claims

205,797

Beneficiaries

64

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		35,032	30,340	$1.01M
99213		17,978	14,939	$386K
99204		334	307	$15K
99401		654	540	$9K
99245		46	46	$7K
G0439	Ppps, subseq visit	1,325	1,087	$7K
99497		594	467	$6K
99072		1,029	842	$5K
99402		147	134	$5K
99309		101	101	$3K
96127		4,239	3,829	$3K
95251		248	198	$3K
99203		119	102	$2K
99422		412	311	$1K
93000		99	95	$955.74
99397		66	59	$601.90
1494F		1,956	1,688	$437.83
3008F		31,996	27,287	$385.35
1000F		19,856	16,396	$267.20
3048F		1,633	1,285	$224.40
99421		171	148	$221.02
90688		135	132	$210.44
1101F		1,649	1,414	$208.01
3074F		6,537	5,654	$205.35
1036F		17,642	14,527	$203.70
G9275	Doc of non tobacco user	26,754	22,090	$167.40
3044F		2,999	2,613	$144.38
1160F		15,087	12,423	$136.57
1159F		14,970	12,314	$122.46
1126F		991	853	$122.46
1170F		2,303	1,937	$105.26
G8510	Scr dep neg, no plan reqd	5,650	4,824	$85.59
G0008	Admin influenza virus vac	95	94	$85.11
G9281	Pne scrn done doc not ind	187	145	$75.72
3078F		10,978	9,268	$50.20
G9273	Sys<140 and dia<90	51	40	$44.76
81002		25	25	$36.54
1158F		2,056	1,705	$35.82
3077F		4,235	3,605	$0.05
3075F		2,209	1,954	$0.04
3045F		272	240	$0.03
3079F		2,558	2,257	$0.03
2028F		1,423	1,241	$0.01
G9276	Doc of tobacco user	621	526	$0.00
3288F		1,193	1,076	$0.00
3016F		704	636	$0.00
3725F		912	783	$0.00
1032F		127	102	$0.00
1090F		622	551	$0.00
G0444	Depression screen annual	16	14	$0.00
3046F		26	25	$0.00
82947		49	39	$0.00
G8752	Sys bp less 140	15	12	$0.00
G8427	Docrev cur meds by elig clin	14	12	$0.00
4274F		24	19	$0.00
3080F		202	182	$0.00
4037F		187	156	$0.00
1157F		1,825	1,512	$0.00
G8754	Dias bp less 90	110	96	$0.00
1125F		209	185	$0.00
1034F		220	175	$0.00
G8420	Calc bmi norm parameters	78	60	$0.00
1111F		78	68	$0.00
3049F		13	12	$0.00

Medicaid Provider Spending