MEMORIAL DRIVE FAMILY MEDICINE P.C
NPI: 1285994251
· STONE MOUNTAIN, GA 30083
· 207Q00000X
$524K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,692 |
$54K |
| 2019 |
1,999 |
$70K |
| 2020 |
1,805 |
$44K |
| 2021 |
3,620 |
$59K |
| 2022 |
5,157 |
$80K |
| 2023 |
4,583 |
$134K |
| 2024 |
1,646 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,570 |
5,440 |
$363K |
| 99213 |
|
2,480 |
2,173 |
$102K |
| 99204 |
|
296 |
263 |
$25K |
| 99050 |
|
756 |
677 |
$11K |
| 87426 |
|
220 |
197 |
$6K |
| 99203 |
|
68 |
62 |
$5K |
| 81002 |
|
1,590 |
1,454 |
$4K |
| 87400 |
|
100 |
99 |
$1K |
| 36415 |
|
1,950 |
1,768 |
$1K |
| 99393 |
|
15 |
13 |
$852.64 |
| 87635 |
|
17 |
15 |
$769.65 |
| 99406 |
|
102 |
88 |
$716.88 |
| 99394 |
|
12 |
12 |
$584.10 |
| 92551 |
|
111 |
97 |
$472.53 |
| 87811 |
|
13 |
13 |
$351.90 |
| 90471 |
|
113 |
91 |
$338.10 |
| G0442 |
Annual alcohol screen 15 min |
99 |
83 |
$324.13 |
| 90461 |
|
28 |
28 |
$227.16 |
| 81025 |
|
28 |
25 |
$184.28 |
| 90460 |
|
15 |
13 |
$173.00 |
| 81000 |
|
46 |
46 |
$128.68 |
| G0444 |
Depression screen annual |
62 |
55 |
$84.00 |
| V5008 |
Hearing screening |
35 |
26 |
$66.12 |
| 82948 |
|
15 |
13 |
$60.05 |
| 82962 |
|
12 |
12 |
$35.43 |
| G8427 |
Docrev cur meds by elig clin |
478 |
446 |
$7.50 |
| 99173 |
|
36 |
26 |
$4.00 |
| 99072 |
|
4,964 |
4,033 |
$0.00 |
| 99172 |
|
161 |
134 |
$0.00 |
| 1170F |
|
62 |
53 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 99443 |
|
20 |
15 |
$0.00 |
| G8754 |
Dias bp less 90 |
15 |
12 |
$0.00 |