NORTON CHILDRENS MEDICAL GROUP, LLC

$107.36M

Total Medicaid Paid

3,157,297

Total Claims

2,920,255

Beneficiaries

313

Codes Billed

2020-03

First Month

2024-12

Last Month

Year	Claims	Total Paid
2020	368,667	$10.62M
2021	613,806	$21.25M
2022	727,089	$25.36M
2023	744,204	$25.93M
2024	703,531	$24.20M

Code	Description	Claims	Beneficiaries	Total Paid
99214		321,096	300,425	$18.58M
99213		352,567	327,431	$13.43M
90460		254,010	246,502	$8.51M
99392		104,578	101,701	$7.68M
99391		105,188	98,877	$6.74M
87636		40,445	38,706	$5.19M
99283		121,293	116,836	$4.90M
99284		59,377	57,208	$3.90M
99393		44,930	43,614	$3.21M
99215	Prolong outpt/office vis	40,036	36,926	$3.14M
99285		19,602	18,333	$1.93M
93303		18,903	17,705	$1.72M
99204		19,011	18,048	$1.63M
87651		45,061	42,410	$1.41M
99244		11,357	10,845	$1.25M
99394		13,636	13,224	$1.07M
96110		35,756	33,470	$1.02M
99238		24,312	22,875	$1.02M
99173		18,142	17,250	$902K
99232		24,748	9,322	$845K
99460		20,976	20,046	$805K
93306		8,168	7,690	$791K
99480		9,081	2,049	$788K
93320		19,439	18,121	$687K
99479		7,618	1,811	$636K
95720		4,710	3,416	$595K
93325		27,589	24,853	$556K
70551		9,329	8,232	$554K
93000		25,447	24,292	$497K
90471		34,043	31,033	$481K
99233	Prolong inpt eval add15 m	10,537	3,912	$463K
99243		6,327	6,083	$462K
99203		7,319	6,926	$427K
76770		12,351	11,990	$402K
85025		53,958	50,898	$398K
90670		51,392	49,960	$353K
87631		2,690	2,580	$352K
71045		54,019	29,577	$346K
87811		7,048	6,877	$340K
99282		14,265	13,651	$288K
70553		2,733	2,555	$282K
70450		7,330	6,843	$277K
90472		14,265	12,268	$261K
99462		12,774	10,289	$251K
99239		3,478	3,275	$231K
99291		1,884	988	$225K
83655		17,903	17,101	$216K
90677		17,281	16,732	$215K
71046		24,937	24,122	$214K
74018		30,918	22,037	$210K
99205	Prolong outpt/office vis	2,308	2,035	$208K
99222		2,700	2,551	$206K
72148		2,931	2,833	$199K
93010		23,013	17,471	$193K
95004		2,544	2,453	$181K
99223	Prolong inpt eval add15 m	1,657	1,550	$175K
36416		78,394	74,086	$167K
92551		15,580	14,890	$162K
74019		15,885	15,319	$142K
99469		639	172	$142K
99472		852	149	$137K
54150		2,165	2,092	$129K
95810		1,162	1,045	$125K
99245		831	752	$113K
J1050	Medroxyprogesterone acetate	2,061	1,993	$112K
0001A		3,330	2,819	$109K
99309		2,164	1,142	$109K
96127		29,768	28,129	$106K
90839		1,307	1,201	$103K
80061		7,814	7,532	$102K
0071A		2,919	2,501	$97K
0072A		2,356	2,277	$90K
99174		5,072	4,786	$89K
0002A		2,531	2,297	$88K
99188		6,795	6,490	$87K
76705		3,245	3,105	$80K
83036		9,408	8,963	$80K
64643		982	902	$77K
90680		35,176	34,256	$75K
92587		2,069	1,967	$74K
72141		1,078	1,042	$73K
14040		448	391	$70K
69436		620	440	$69K
94060		2,312	2,129	$69K
77073		2,398	2,281	$66K
95812		1,484	1,426	$62K
54161		755	671	$60K
72082		1,552	1,492	$60K
99212		2,615	2,509	$58K
99254		662	553	$56K
54360		163	138	$56K
51728		739	709	$54K
94010		3,082	2,966	$54K
87502		558	501	$51K
90474		4,257	3,981	$50K
76506		2,067	1,807	$50K
99417	Prolong home eval add 15m	919	800	$48K
72146		721	694	$48K
74177		634	620	$47K
90791		607	486	$45K
42820		241	221	$44K
93304		1,109	921	$43K
95782		494	423	$43K
81025		6,292	5,952	$43K
76856		663	636	$43K
96161		14,978	14,082	$42K
72170		2,501	2,395	$42K
54300		111	101	$41K
64642		576	528	$40K
51797		746	718	$39K
36415		16,123	15,227	$38K
90480		2,486	2,376	$36K
90461		128,297	125,037	$33K
A4590	Special casting material	3,124	2,564	$33K
99349		340	272	$33K
90792		339	322	$32K
93227		1,065	959	$32K
55175		280	223	$31K
96372		2,153	2,079	$29K
95251		1,869	1,774	$29K
96160		10,219	9,694	$27K
51784		742	715	$26K
99383		394	344	$26K
95816		496	458	$26K
90832		674	502	$25K
82947		6,529	6,310	$25K
99471		45	40	$25K
90651		4,969	4,789	$24K
92567		1,881	1,766	$24K
36512		490	442	$23K
J7307	Etonogestrel implant system	28	25	$22K
95718		285	265	$22K
99335		454	381	$22K
82044		4,091	3,912	$21K
99384		306	250	$21K
99231		933	474	$20K
90698		57,758	55,997	$20K
93321		1,935	1,613	$20K
90686		86,416	83,554	$19K
82570		4,086	3,907	$19K
74230		863	810	$18K
74240		573	556	$17K
54304		33	26	$15K
25600		80	75	$15K
73630		1,235	1,107	$15K
90834		442	236	$15K
87880		1,011	957	$14K
87807		1,099	1,057	$13K
51600		698	669	$13K
92579		782	735	$13K
95874		1,012	928	$13K
93976		318	304	$12K
85018		4,766	4,625	$11K
81003		9,491	8,764	$11K
72081		459	440	$11K
99217		252	227	$11K
99336		126	112	$10K
74455		613	604	$9K
99235		77	71	$9K
63200		13	12	$9K
43239		53	52	$8K
0004A		226	211	$8K
99381		114	111	$8K
0081A		288	199	$8K
73100		404	375	$7K
90744		19,416	18,753	$7K
76885		227	216	$7K
90847		148	93	$7K
76800		141	137	$7K
90840		149	144	$6K
73070		516	487	$6K
93296		361	288	$6K
92582		134	124	$6K
76825		179	152	$6K
99219		80	77	$6K
69990		43	38	$6K
73090		766	724	$6K
90707		2,734	2,657	$6K
64644		81	75	$6K
76827		180	152	$6K
0054A		162	141	$5K
90633		25,502	24,534	$5K
95819		94	86	$5K
0151A		142	137	$5K
99255		42	38	$5K
96112		71	56	$5K
77072		713	690	$5K
99242		91	89	$5K
70544		113	106	$5K
73564		167	141	$5K
99220		45	42	$4K
0052A		130	110	$4K
90837		88	50	$4K
96380		251	237	$4K
99464		100	93	$4K
73590		539	412	$4K
73610		503	478	$4K
73560		262	236	$4K
99177		1,160	1,124	$4K
92507		134	61	$4K
0171A		90	88	$4K
92583		152	147	$3K
31575		65	65	$3K
92526		111	60	$3K
G2211	Complex e/m visit add on	3,780	3,522	$3K
51741		96	95	$3K
76700		96	96	$3K
99310	Prolong nursin fac eval 15m	40	39	$3K
0074A		88	74	$3K
92555		299	274	$3K
99490	Ccm add 20min	77	77	$2K
96156		73	51	$2K
99236	Prolong inpt eval add15 m	13	13	$2K
76870		79	77	$2K
93294		110	88	$2K
70486		44	44	$2K
0051A		56	50	$2K
49446		16	12	$2K
76536		79	78	$2K
73521		167	165	$2K
0121A		53	51	$2K
69210		85	70	$2K
99253		27	25	$2K
82247		365	290	$2K
99211		114	111	$2K
90656		13,039	12,931	$2K
99418	Prolong nursin fac eval 15m	30	25	$2K
0082A		62	41	$2K
75573		18	18	$2K
17110		82	74	$2K
0112A		82	41	$2K
92552		141	135	$1K
90697		6,249	6,184	$1K
73721		27	24	$1K
99439		26	25	$1K
0124A		36	32	$1K
90734		1,011	982	$1K
99218		27	26	$1K
90716		4,805	4,565	$1K
82465		282	269	$1K
92652		14	12	$1K
0154A		35	26	$1K
99348		13	12	$1K
73130		137	130	$1K
0111A		59	31	$1K
87635		20	19	$992.35
99382		14	14	$966.49
99221		21	19	$952.08
29450		22	13	$908.64
95813		13	12	$851.19
71260		15	15	$804.32
58300		14	14	$772.78
90696		1,889	1,845	$768.99
73110		76	71	$740.17
90710		2,496	2,424	$710.84
92504		81	76	$706.84
99304		15	15	$691.60
77076		29	26	$657.46
J1100	Dexamethasone sodium phos	672	513	$642.48
76000		51	51	$631.10
90833		44	18	$600.58
99308		14	14	$590.66
76775		14	13	$583.84
0083A		18	15	$573.20
99252		16	14	$568.99
93784		20	15	$524.21
74430		40	38	$507.78
96113		25	12	$459.11
93225		12	12	$414.55
2014F		29,318	28,300	$386.85
76857		14	13	$358.85
73620		14	12	$321.06
85014		133	133	$308.13
99281		20	18	$295.62
95117		23	12	$294.18
3008F		118,281	114,848	$290.60
86308		59	59	$279.29
90700		214	210	$224.38
83718		29	28	$203.58
70360		25	25	$189.07
85027		25	25	$161.19
51798		14	13	$134.49
77080		14	12	$92.37
90648		167	164	$90.84
94664		13	13	$89.14
73140		16	15	$87.47
90688		64	62	$71.36
97802		411	383	$23.15
97803		940	855	$12.23
90785		66	13	$7.82
91300		138	124	$0.02
99024		26,039	17,960	$0.00
91307		170	148	$0.00
91318		366	346	$0.00
91317		109	106	$0.00
90619		1,901	1,812	$0.00
91319		302	291	$0.00
90381		134	133	$0.00
91305		380	341	$0.00
90620		56	54	$0.00
91315		142	137	$0.00
90723		12	12	$0.00
91312		67	65	$0.00
90713		1,570	1,440	$0.00
90715		1,471	1,373	$0.00
91320		179	173	$0.00
91308		72	66	$0.00
99401		50	39	$0.00
91321		52	52	$0.00
90380		12	12	$0.00
90714		12	12	$0.00
90687		14	13	$0.00
90672		12	12	$0.00

Medicaid Provider Spending

Monthly Spending Trend

Yearly Breakdown

Billing Codes