THOMAS, MICHAEL

$735K

Total Medicaid Paid

43,779

Total Claims

37,675

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
70450		2,242	2,062	$117K
77067		4,406	3,741	$112K
77063		2,286	1,871	$49K
74177		1,216	1,115	$49K
74176		1,425	1,350	$46K
71275		470	448	$40K
71045		8,152	6,523	$31K
76642		1,464	1,260	$28K
71271		842	801	$26K
71046		4,995	4,518	$25K
71250		1,137	1,048	$23K
G0279	Tomosynthesis, mammo	898	782	$18K
77066	Tomosynthesis, mammo	584	507	$17K
73630		1,700	1,451	$16K
76705		889	861	$15K
71260		446	403	$14K
72100		1,174	1,113	$13K
73610		861	764	$11K
77065	Tomosynthesis, mammo	404	335	$10K
73030		1,025	841	$10K
73130		973	742	$9K
72125		327	290	$8K
76770		315	304	$8K
91200		817	762	$6K
74018		1,240	1,076	$5K
73562		453	366	$5K
76536		122	119	$3K
93971		305	252	$3K
73560		293	234	$3K
73110		253	231	$2K
72040		195	185	$2K
74178		45	45	$2K
73502		335	284	$2K
72110		112	97	$2K
76700		52	52	$943.79
72131		27	25	$856.89
76830		24	24	$792.53
70486		14	12	$537.64
73590		55	51	$421.04
76870		12	12	$367.87
76815		14	14	$333.52
73080		33	31	$318.00
72070		34	26	$291.45
74230		14	13	$264.21
93880		21	13	$228.35
93970		14	12	$182.25
72050		12	12	$168.27
G9638	No doc >1 dose reduc tech	233	153	$0.00
G9329	Norsn no dicom format doc	173	92	$0.00
G9551	Imag no les	103	63	$0.00
G9319	Image not std nomenclature	173	92	$0.00
G9322	No cnt ct nuc med doc 12mo	173	92	$0.00
G9326	Ct done no rad ds index, nrg	173	92	$0.00
G9557	Ct/cta/mri/a no thyr <1.0cm	24	13	$0.00

Medicaid Provider Spending