PREMIERE SPINE AND SPORTS MEDICINE LLC
NPI: 1245760875
· HAGERSTOWN, MD 21742
· 208100000X
$291K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
590 |
$38K |
| 2021 |
1,358 |
$55K |
| 2022 |
614 |
$54K |
| 2023 |
1,118 |
$80K |
| 2024 |
942 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,561 |
1,356 |
$174K |
| 99213 |
|
799 |
730 |
$57K |
| 97112 |
|
1,209 |
466 |
$35K |
| 97140 |
|
503 |
189 |
$12K |
| 97110 |
|
325 |
120 |
$8K |
| 99204 |
|
30 |
26 |
$4K |
| J1100 |
Dexamethasone sodium phos |
195 |
180 |
$201.57 |