INGRAM PEDIATRICS, P.A

$2.47M

Total Medicaid Paid

85,057

Total Claims

73,625

Beneficiaries

55

Codes Billed

2018-12

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		14,727	12,850	$821K
99392		3,820	3,469	$347K
99393		3,091	2,974	$283K
99214		3,026	2,830	$233K
99391		2,563	2,189	$204K
99394		1,891	1,830	$168K
90460		9,306	6,644	$71K
99212		1,880	1,772	$62K
97802		5,684	5,418	$37K
90670		2,383	1,874	$35K
99384		338	325	$28K
90648		1,638	1,284	$26K
99383		319	311	$25K
99000		3,046	2,283	$23K
90671		87	84	$14K
36415		4,491	3,623	$14K
90677		357	348	$11K
81003		7,835	7,455	$8K
90686		1,268	1,206	$7K
99382		86	81	$7K
90633		1,814	1,616	$7K
90710		568	546	$7K
99381		125	97	$6K
90651		1,877	1,780	$6K
90461		3,270	2,602	$4K
90716		285	241	$2K
90680		1,469	1,170	$2K
90698		174	146	$1K
90621		159	148	$1K
96110		184	171	$1K
90619		638	614	$970.35
99051		95	94	$866.14
90734		498	376	$735.46
99211		29	28	$609.75
83655		134	132	$590.30
90715		707	606	$482.98
90700		456	394	$479.38
90723		880	666	$464.05
90696		404	355	$439.54
99203		18	14	$425.37
90707		304	235	$333.68
99463		13	12	$295.85
90688		179	171	$274.00
99441		54	42	$270.39
90697		210	206	$178.83
90744		66	62	$120.01
90656		23	22	$80.00
87430		13	13	$50.65
90620		39	38	$0.02
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	1,148	932	$0.00
90713		33	25	$0.00
S9449	Weight management classes, non-physician provider, per session	357	321	$0.00
90681		12	12	$0.00
S9451	Exercise classes, non-physician provider, per session	337	304	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	649	584	$0.00

Medicaid Provider Spending