IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC

$1.44M

Total Medicaid Paid

205,305

Total Claims

121,318

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99309		113,151	64,320	$1.15M
99308		24,368	16,165	$118K
90834		1,469	882	$37K
90792		1,110	974	$32K
99310	Prolong nursin fac eval 15m	2,311	1,604	$21K
90832		1,334	720	$19K
99348		582	485	$19K
90837		463	237	$14K
90833		1,116	834	$11K
90791		185	165	$7K
99214		315	132	$4K
99350	Prolong home eval add 15m	51	47	$3K
99306	Prolong nursin fac eval 15m	151	138	$3K
99497		738	672	$2K
99305		103	96	$2K
99318		201	197	$969.32
99213		134	77	$867.10
99349		33	25	$258.99
99342		29	28	$238.95
99307		305	86	$127.41
99406		68	53	$29.85
1123F		2,441	2,396	$0.00
G9903	Pt scrn tbco id as non user	104	104	$0.00
1036F		104	104	$0.00
G0439	Ppps, subseq visit	32	26	$0.00
G9717	Doc pt dx bipol	71	71	$0.00
99335		66	36	$0.00
99304		16	15	$0.00
G8430	Doc med rsn no medrec	75	14	$0.00
1100F		1,742	1,736	$0.00
G8427	Docrev cur meds by elig clin	46,578	23,057	$0.00
G8482	Flu immunize order/admin	1,843	1,837	$0.00
0518F		1,702	1,696	$0.00
G8483	Flu imm no admin doc rea	343	343	$0.00
3288F		1,644	1,638	$0.00
3045F		17	17	$0.00
G8484	Flu immunize no admin	123	105	$0.00
G8431	Pos clin depres scrn f/u doc	55	55	$0.00
1124F		93	92	$0.00
G9368	>= 2 same hi-rsk med not ord	14	14	$0.00
G9905	No pt tbco scrn rng	12	12	$0.00
4004F		13	13	$0.00

Medicaid Provider Spending