MONTOYA FAMILY PRACTICE, PA
NPI: 1265592232
· WICHITA, KS 67207
· 363A00000X
$1.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,793 |
$307K |
| 2019 |
11,472 |
$331K |
| 2020 |
10,492 |
$318K |
| 2021 |
10,999 |
$295K |
| 2022 |
9,861 |
$273K |
| 2023 |
7,124 |
$208K |
| 2024 |
4,487 |
$144K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
26,430 |
23,947 |
$856K |
| 99393 |
|
2,956 |
2,760 |
$186K |
| 99394 |
|
2,939 |
2,778 |
$185K |
| 99214 |
|
3,127 |
2,905 |
$148K |
| 99392 |
|
2,222 |
2,108 |
$145K |
| 99391 |
|
1,341 |
1,259 |
$86K |
| 90460 |
|
2,447 |
2,318 |
$82K |
| 90472 |
|
1,459 |
1,400 |
$59K |
| 90471 |
|
2,197 |
2,124 |
$41K |
| U0002 |
Covid-19 lab test non-cdc |
546 |
539 |
$18K |
| 87804 |
|
946 |
477 |
$12K |
| 99203 |
|
203 |
186 |
$11K |
| 87880 |
|
1,652 |
1,590 |
$11K |
| 99202 |
|
157 |
149 |
$7K |
| 90473 |
|
344 |
325 |
$6K |
| 81002 |
|
2,140 |
2,000 |
$5K |
| 99383 |
|
41 |
40 |
$3K |
| 0001A |
|
64 |
63 |
$2K |
| 0071A |
|
48 |
48 |
$2K |
| 99381 |
|
41 |
39 |
$2K |
| 81025 |
|
294 |
276 |
$2K |
| 0002A |
|
41 |
40 |
$1K |
| 92551 |
|
115 |
114 |
$1K |
| 87426 |
|
26 |
25 |
$729.12 |
| 99395 |
|
14 |
13 |
$681.51 |
| 90688 |
|
700 |
686 |
$551.53 |
| 99173 |
|
117 |
116 |
$483.75 |
| 96372 |
|
62 |
52 |
$357.50 |
| 96127 |
|
121 |
120 |
$313.65 |
| 99212 |
|
12 |
12 |
$252.89 |
| 81005 |
|
237 |
229 |
$239.65 |
| 90686 |
|
427 |
412 |
$226.10 |
| D1206 |
|
13 |
12 |
$204.00 |
| 82962 |
|
33 |
29 |
$122.08 |
| 90715 |
|
236 |
228 |
$84.28 |
| 81003 |
|
31 |
31 |
$37.50 |
| 36415 |
|
2,336 |
2,233 |
$13.50 |
| G0447 |
Behavior counsel obesity 15m |
123 |
119 |
$7.90 |
| 90700 |
|
14 |
14 |
$0.00 |
| 91300 |
|
171 |
161 |
$0.00 |
| 90670 |
|
788 |
761 |
$0.00 |
| 90633 |
|
417 |
403 |
$0.00 |
| 90461 |
|
1,198 |
1,126 |
$0.00 |
| 90734 |
|
681 |
661 |
$0.00 |
| 90710 |
|
387 |
379 |
$0.00 |
| 94150 |
|
14 |
14 |
$0.00 |
| 90649 |
|
20 |
20 |
$0.00 |
| G0444 |
Depression screen annual |
14 |
13 |
$0.00 |
| 90723 |
|
539 |
521 |
$0.00 |
| 90651 |
|
475 |
462 |
$0.00 |
| 90680 |
|
371 |
359 |
$0.00 |
| 90647 |
|
606 |
584 |
$0.00 |
| 90696 |
|
109 |
106 |
$0.00 |
| 90619 |
|
52 |
50 |
$0.00 |
| 91305 |
|
36 |
36 |
$0.00 |
| 91307 |
|
86 |
86 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |