STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
NPI: 1154572840
· MONTGOMERY, AL 36104
· 251K00000X
$150K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,327 |
$64K |
| 2019 |
2,138 |
$50K |
| 2020 |
829 |
$16K |
| 2021 |
335 |
$4K |
| 2022 |
198 |
$3K |
| 2023 |
274 |
$3K |
| 2024 |
520 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Medroxyprogesterone acetate |
1,080 |
1,056 |
$51K |
| 90460 |
|
2,093 |
916 |
$30K |
| 99211 |
|
2,216 |
2,167 |
$21K |
| 90461 |
|
702 |
472 |
$16K |
| 99205 |
Prolong outpt/office vis |
80 |
80 |
$8K |
| 90651 |
|
37 |
37 |
$7K |
| 99214 |
|
171 |
170 |
$7K |
| 90734 |
|
39 |
39 |
$4K |
| 90715 |
|
98 |
97 |
$3K |
| 90710 |
|
12 |
12 |
$2K |
| 90688 |
|
30 |
30 |
$535.20 |
| 90633 |
|
14 |
14 |
$421.96 |
| 90686 |
|
13 |
13 |
$247.39 |
| 90687 |
|
20 |
20 |
$0.00 |
| 91301 |
|
16 |
14 |
$0.00 |