BILLY R NORDYKE JR DO PC

$487K

Total Medicaid Paid

18,692

Total Claims

17,340

Beneficiaries

46

Codes Billed

2018-08

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		4,618	3,913	$246K
99214		2,352	2,158	$176K
87635		647	604	$23K
99215	Prolong outpt/office vis	61	60	$5K
99203		142	131	$5K
87880		383	366	$5K
87804		377	361	$5K
99395		50	49	$4K
90471		314	311	$3K
87502		51	50	$3K
90756		127	127	$3K
81003		1,496	1,457	$2K
80061		158	154	$2K
99396		17	17	$1K
36415		597	574	$931.96
90686		56	55	$913.86
99443		12	12	$808.04
90682		16	16	$699.40
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	83	80	$526.56
J1885	Injection, ketorolac tromethamine, per 15 mg	285	255	$379.80
82947		85	83	$270.17
99406		28	26	$199.68
90688		16	16	$178.40
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	203	183	$157.69
83036		38	38	$148.41
81001		54	53	$116.54
81025		14	14	$78.67
81002		25	22	$48.96
J1100	Injection, dexamethasone sodium phosphate, 1 mg	81	79	$31.84
3074F		378	373	$0.00
3008F		1,376	1,317	$0.00
3079F		182	181	$0.00
2000F		956	928	$0.00
1126F		225	218	$0.00
1125F		138	130	$0.00
4037F		78	78	$0.00
3075F		38	38	$0.00
3044F		12	12	$0.00
3048F		13	12	$0.00
3016F		917	885	$0.00
1160F		318	294	$0.00
3725F		1,085	1,057	$0.00
3078F		171	168	$0.00
1159F		293	269	$0.00
4004F		113	104	$0.00
3288F		13	12	$0.00

Medicaid Provider Spending