DIVINE HEALTH GROUP LLC
NPI: 1164120796
· LA JUNTA, CO 81050
· 261QM0801X
$150K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
528 |
$35K |
| 2024 |
1,901 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,537 |
1,052 |
$107K |
| 90833 |
|
768 |
501 |
$35K |
| 99204 |
|
57 |
55 |
$7K |
| 90792 |
|
67 |
62 |
$502.21 |