JON V. SCHELLACK, M.D. (A PROFESSIONAL MEDICAL CORPORATION)

$247K

Total Medicaid Paid

10,438

Total Claims

9,233

Beneficiaries

20

Codes Billed

2018-01

First Month

2024-10

Last Month

Authorized Official	SCHELLACK, JON (PRESIDENT)
NPI Enumeration Date	09/26/2006

Code	Description	Claims	Beneficiaries	Total Paid
36558		304	260	$74K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5,056	4,507	$65K
93990		1,050	929	$23K
93923		640	560	$22K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	969	869	$20K
36902		132	119	$16K
93970		152	136	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	941	861	$6K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	112	92	$4K
76937		766	645	$3K
93971		73	62	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	63	50	$1K
99222	Initial hospital care, per day, moderate complexity	29	25	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	44	19	$516.20
99221		14	12	$437.64
93985		13	13	$411.23
36907		13	12	$367.44
77001		39	36	$343.74
36901		14	13	$314.93
36832		14	13	$0.00

Medicaid Provider Spending