COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP
NPI: 1255384533
· LEWISVILLE, TX 75057
· 282N00000X
$6.91M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
997 |
$94K |
| 2021 |
19,601 |
$1.38M |
| 2022 |
24,503 |
$2.13M |
| 2023 |
20,795 |
$2.30M |
| 2024 |
10,495 |
$1.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
20,990 |
20,371 |
$3.78M |
| 99284 |
|
6,626 |
6,082 |
$2.28M |
| 99282 |
|
2,080 |
2,025 |
$357K |
| 71045 |
|
4,672 |
4,424 |
$76K |
| 87804 |
|
4,914 |
3,887 |
$68K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,573 |
1,534 |
$49K |
| 87635 |
|
1,711 |
1,618 |
$47K |
| 96374 |
|
1,754 |
1,604 |
$43K |
| 93005 |
|
1,097 |
981 |
$37K |
| 87426 |
|
977 |
957 |
$26K |
| 80053 |
|
2,071 |
1,848 |
$26K |
| 85027 |
|
6,669 |
5,933 |
$21K |
| 87430 |
|
1,688 |
1,629 |
$21K |
| 80048 |
|
1,668 |
1,500 |
$17K |
| 36415 |
|
8,968 |
8,034 |
$11K |
| 99281 |
|
56 |
56 |
$10K |
| 81001 |
|
3,376 |
3,144 |
$8K |
| J7030 |
Normal saline solution infus |
1,284 |
1,109 |
$6K |
| J2405 |
Ondansetron hcl injection |
375 |
319 |
$4K |
| 93976 |
|
43 |
39 |
$4K |
| 87420 |
|
291 |
275 |
$3K |
| 83880 |
|
224 |
199 |
$3K |
| 83690 |
|
677 |
619 |
$2K |
| 70450 |
|
54 |
51 |
$2K |
| 82306 |
|
39 |
39 |
$1K |
| 74177 |
|
13 |
13 |
$1K |
| 87070 |
|
203 |
194 |
$1K |
| 99285 |
|
44 |
39 |
$1K |
| 84443 |
|
57 |
56 |
$1K |
| 84484 |
|
661 |
488 |
$1K |
| 80061 |
|
56 |
55 |
$732.15 |
| 84703 |
|
158 |
148 |
$674.74 |
| 85730 |
|
197 |
180 |
$593.97 |
| 96375 |
|
129 |
115 |
$589.42 |
| 85610 |
|
234 |
198 |
$471.28 |
| 82607 |
|
40 |
40 |
$433.72 |
| 82746 |
|
40 |
40 |
$420.42 |
| 84425 |
|
28 |
28 |
$418.49 |
| 84702 |
|
29 |
25 |
$366.56 |
| 94640 |
|
43 |
39 |
$332.79 |
| 81025 |
|
57 |
50 |
$265.88 |
| 83540 |
|
40 |
40 |
$247.98 |
| 83550 |
|
28 |
28 |
$203.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
42 |
41 |
$181.11 |
| J1100 |
Dexamethasone sodium phos |
78 |
53 |
$157.87 |
| 83036 |
|
31 |
30 |
$109.22 |
| 80076 |
|
13 |
13 |
$69.42 |
| J1885 |
Ketorolac tromethamine inj |
34 |
25 |
$62.43 |
| 86900 |
|
28 |
24 |
$60.24 |
| 86901 |
|
28 |
24 |
$60.24 |
| 86677 |
|
15 |
15 |
$47.79 |
| 81003 |
|
12 |
12 |
$13.23 |
| A9270 |
Non-covered item or service |
164 |
77 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
12 |
12 |
$0.00 |