TERRE HAUTE MEDICAL CORPORATION, PC

$528K

Total Medicaid Paid

34,623

Total Claims

29,858

Beneficiaries

43

Codes Billed

2018-01

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		6,630	5,720	$241K
99214		5,779	4,867	$203K
99215	Prolong outpt/office vis	671	548	$23K
99396		225	179	$8K
99395		142	119	$7K
99406		1,935	1,629	$5K
36415		3,605	3,202	$5K
82306		209	187	$4K
90674		406	388	$4K
90471		404	359	$4K
80305		675	581	$4K
99212		155	116	$3K
90686		256	222	$3K
80061		330	303	$2K
80050		83	79	$2K
83036		322	297	$2K
81002		1,209	1,008	$1K
82962		1,004	862	$1K
84439		244	218	$877.60
87804		33	30	$835.32
99422		98	73	$738.33
99442		158	94	$598.63
99443		74	44	$568.84
71046		16	16	$341.32
80053		45	45	$333.70
94640		30	27	$199.98
87081		15	14	$49.71
G8427	Docrev cur meds by elig clin	3,768	3,235	$0.00
G8730	Pain doc pos and plan	1,313	1,139	$0.00
G8752	Sys bp less 140	878	785	$0.00
G8417	Calc bmi abv up param f/u	1,850	1,601	$0.00
4004F		478	440	$0.00
99173		85	79	$0.00
G8753	Sys bp > or = 140	29	27	$0.00
3288F		12	12	$0.00
G8482	Flu immunize order/admin	147	144	$0.00
G0444	Depression screen annual	14	14	$0.00
G8754	Dias bp less 90	1,053	929	$0.00
G0439	Ppps, subseq visit	13	13	$0.00
G0008	Admin influenza virus vac	166	164	$0.00
G9226	3 comp foot exam completed	12	12	$0.00
G0442	Annual alcohol screen 15 min	13	13	$0.00
G8420	Calc bmi norm parameters	39	24	$0.00

Medicaid Provider Spending