NORTHWEST PROCEDURES & MEDICAL CENTER PC

$569K

Total Medicaid Paid

14,825

Total Claims

10,490

Beneficiaries

40

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		5,753	4,366	$236K
99215	Prolong outpt/office vis	2,692	1,934	$175K
99213		1,769	1,227	$56K
99233	Prolong inpt eval add15 m	885	129	$30K
99223	Prolong inpt eval add15 m	345	280	$26K
99204		228	179	$14K
99238		292	242	$8K
99396		118	80	$6K
99232		161	38	$6K
99386		91	77	$3K
99205	Prolong outpt/office vis	44	37	$2K
G0444	Depression screen annual	410	331	$2K
99497		297	258	$1K
80061		127	83	$669.97
96127		336	262	$649.43
80053		128	82	$591.88
87880		34	27	$455.89
82947		153	121	$447.92
94010		13	13	$333.64
80305		48	45	$329.50
90661		26	20	$329.38
87804		17	14	$283.74
83036		32	29	$191.65
93000		18	16	$127.82
99349		14	12	$95.01
G0447	Behavior counsel obesity 15m	105	81	$75.72
G0101	Ca screen;pelvic/breast exam	38	29	$73.54
G0296	Visit to determ ldct elig	25	21	$55.52
36415		25	21	$54.27
99406		76	66	$43.32
36416		17	12	$38.19
G0442	Annual alcohol screen 15 min	47	34	$34.44
99173		42	22	$32.74
3078F		101	73	$0.00
1160F		13	12	$0.00
3288F		62	48	$0.00
3077F		49	29	$0.00
1159F		13	12	$0.00
3074F		161	115	$0.00
3080F		20	13	$0.00

Medicaid Provider Spending