CTM MEDICAL ASSOCIATES LLC

$1.88M

Total Medicaid Paid

50,857

Total Claims

36,404

Beneficiaries

43

Codes Billed

2019-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
U0004	Cov-19 test non-cdc hgh thru	18,565	9,009	$849K
99214		7,012	6,113	$448K
99213		8,041	6,813	$324K
88305		1,182	1,127	$108K
88342		816	778	$47K
87633		237	192	$29K
99203		313	270	$23K
88341		176	171	$16K
0241U		113	73	$9K
88313		138	128	$6K
96127		1,867	1,671	$4K
99212		185	110	$4K
17000		124	100	$3K
88307		27	27	$2K
99204		28	24	$2K
17110		15	14	$788.77
93000		92	77	$693.19
43239		19	14	$652.47
71046		32	26	$487.45
99406		74	44	$407.10
88304		12	12	$337.49
72100		16	14	$257.92
80053		23	19	$102.87
80061		16	12	$100.72
85025		20	14	$77.21
1036F		170	159	$0.00
G8420	Calc bmi norm parameters	363	329	$0.00
G8510	Scr dep neg, no plan reqd	2,410	1,951	$0.00
1101F		1,955	1,548	$0.00
G9903	Pt scrn tbco id as non user	255	223	$0.00
3017F		214	185	$0.00
G9902	Pt scrn tbco and id as user	14	12	$0.00
G8783	Bp scrn perf rec interval	2,481	2,003	$0.00
4004F		418	400	$0.00
G8427	Docrev cur meds by elig clin	2,917	2,310	$0.00
1124F		226	202	$0.00
M1170	Pt w/o flu vax 7/1-6/30	26	20	$0.00
G8730	Pain doc pos and plan	103	99	$0.00
91300		18	12	$0.00
87631		82	59	$0.00
87798		26	12	$0.00
M1168	Pt recd flu vax 7/1-6/30	16	13	$0.00
M1176	No 2 hzv 10/2017-meas pd	20	15	$0.00

Medicaid Provider Spending