IDEAL FAMILY MEDICINE, LTD
NPI: 1255865713
· PUEBLO, CO 81004
· 363LF0000X
$2.24M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
574 |
$13K |
| 2019 |
4,801 |
$282K |
| 2020 |
4,441 |
$169K |
| 2021 |
6,394 |
$171K |
| 2022 |
9,346 |
$499K |
| 2023 |
11,741 |
$587K |
| 2024 |
9,057 |
$521K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
17,979 |
9,667 |
$1.19M |
| 99215 |
Prolong outpt/office vis |
7,471 |
5,870 |
$599K |
| 99401 |
|
5,161 |
4,212 |
$142K |
| 97530 |
|
6,345 |
2,724 |
$131K |
| 99213 |
|
1,190 |
912 |
$61K |
| 20553 |
|
1,093 |
571 |
$37K |
| 99406 |
|
3,770 |
2,912 |
$28K |
| 96372 |
|
2,126 |
1,470 |
$20K |
| 99204 |
|
114 |
97 |
$13K |
| 99205 |
Prolong outpt/office vis |
32 |
30 |
$5K |
| 96360 |
|
129 |
61 |
$5K |
| 99396 |
|
325 |
225 |
$4K |
| 99212 |
|
97 |
83 |
$3K |
| 99395 |
|
226 |
187 |
$3K |
| 97140 |
|
23 |
20 |
$2K |
| 99385 |
|
16 |
14 |
$1K |
| 97112 |
|
18 |
16 |
$501.90 |
| 99386 |
|
50 |
25 |
$421.98 |
| 97535 |
|
12 |
12 |
$332.21 |
| 82962 |
|
32 |
26 |
$0.00 |
| M1207 |
Pt scrn sdoh |
20 |
19 |
$0.00 |
| M1293 |
Calc bmi abv up param f/u |
13 |
12 |
$0.00 |
| M1069 |
Pt scr ft fall rsk |
20 |
19 |
$0.00 |
| T1502 |
Medication admin visit |
18 |
13 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
20 |
19 |
$0.00 |
| G8851 |
Adhere tx assess at lst ann |
35 |
19 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
19 |
18 |
$0.00 |