E DAWN MARTIN CACIII LLC
NPI: 1205326428
· COLORADO SPRINGS, CO 80910
· 261QP2300X
$1.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,873 |
$263K |
| 2020 |
2,458 |
$266K |
| 2021 |
2,440 |
$387K |
| 2022 |
2,373 |
$394K |
| 2023 |
3,808 |
$377K |
| 2024 |
2,941 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Naltrexone, depot form |
852 |
742 |
$1.10M |
| 99214 |
|
3,954 |
3,363 |
$387K |
| 99204 |
|
857 |
834 |
$120K |
| 90833 |
|
1,356 |
1,190 |
$80K |
| 96127 |
|
4,085 |
3,403 |
$43K |
| 80305 |
|
2,456 |
2,095 |
$30K |
| 99213 |
|
347 |
291 |
$23K |
| 96372 |
|
1,237 |
1,111 |
$19K |
| 81025 |
|
724 |
610 |
$6K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 36415 |
|
13 |
12 |
$35.28 |