PROVISON TWP HS DIST 209
NPI: 1255456000
· MAYWOOD, IL 60153
· 251300000X
$321K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,085 |
$62K |
| 2019 |
5,711 |
$114K |
| 2020 |
5,934 |
$74K |
| 2021 |
1,473 |
$41K |
| 2022 |
887 |
$26K |
| 2023 |
75 |
$2K |
| 2024 |
74 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
N-et; encounter/trip |
5,519 |
1,518 |
$99K |
| 92508 |
|
4,048 |
1,407 |
$89K |
| 96158 |
|
1,452 |
563 |
$44K |
| 96152 |
|
2,087 |
777 |
$34K |
| 92507 |
|
835 |
542 |
$29K |
| 96164 |
|
972 |
362 |
$10K |
| 96159 |
|
290 |
141 |
$7K |
| 96153 |
|
1,421 |
516 |
$6K |
| 92551 |
|
216 |
212 |
$1K |
| 96165 |
|
180 |
77 |
$1K |
| 99173 |
|
219 |
216 |
$776.13 |