INTERMOUNTAIN MEDICAL GROUP, INC
NPI: 1356397673
· KINGSTON, PA 18704
· 133V00000X
$1.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,227 |
$32K |
| 2019 |
2,921 |
$25K |
| 2020 |
1,710 |
$34K |
| 2021 |
28,793 |
$281K |
| 2022 |
45,295 |
$352K |
| 2023 |
36,679 |
$367K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,032 |
12,412 |
$489K |
| 99213 |
|
15,314 |
14,060 |
$442K |
| 99308 |
|
3,286 |
3,168 |
$39K |
| 93306 |
|
935 |
908 |
$27K |
| S9470 |
Nutritional counseling, diet |
1,134 |
1,097 |
$20K |
| 99212 |
|
388 |
339 |
$10K |
| 77067 |
|
272 |
270 |
$8K |
| 99309 |
|
948 |
876 |
$7K |
| 77063 |
|
271 |
269 |
$7K |
| 93000 |
|
547 |
534 |
$6K |
| 93010 |
|
957 |
894 |
$6K |
| 99252 |
|
188 |
187 |
$5K |
| 3074F |
|
12,627 |
11,729 |
$4K |
| 3078F |
|
11,035 |
10,294 |
$4K |
| 99396 |
|
126 |
123 |
$3K |
| 99251 |
|
89 |
89 |
$2K |
| 99203 |
|
24 |
24 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| 90688 |
|
582 |
480 |
$1K |
| 90471 |
|
122 |
101 |
$1K |
| 3079F |
|
2,001 |
1,898 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$741.58 |
| 81000 |
|
359 |
319 |
$731.57 |
| 99336 |
|
214 |
200 |
$578.96 |
| 90682 |
|
21 |
13 |
$496.33 |
| 99395 |
|
24 |
24 |
$475.00 |
| 99232 |
|
114 |
66 |
$458.75 |
| 71046 |
|
46 |
45 |
$325.95 |
| 95251 |
|
13 |
13 |
$281.20 |
| 99231 |
|
66 |
51 |
$264.77 |
| 3075F |
|
513 |
493 |
$249.99 |
| 99233 |
Prolong inpt eval add15 m |
104 |
50 |
$235.60 |
| 99305 |
|
12 |
12 |
$233.03 |
| 93880 |
|
13 |
13 |
$224.42 |
| J3420 |
Vitamin b12 injection |
922 |
783 |
$219.78 |
| 99442 |
|
13 |
12 |
$202.68 |
| 99307 |
|
14 |
12 |
$69.87 |
| 3725F |
|
247 |
236 |
$50.00 |
| 3077F |
|
54 |
53 |
$40.00 |
| 1159F |
|
5,994 |
5,620 |
$0.00 |
| 1160F |
|
7,434 |
6,965 |
$0.00 |
| 3288F |
|
822 |
780 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
25 |
25 |
$0.00 |
| 4274F |
|
138 |
114 |
$0.00 |
| G8752 |
Sys bp less 140 |
45 |
45 |
$0.00 |
| 99221 |
|
13 |
13 |
$0.00 |
| 3008F |
|
18,554 |
17,172 |
$0.00 |
| 1036F |
|
16,443 |
14,708 |
$0.00 |
| 1034F |
|
3,186 |
2,836 |
$0.00 |
| 1101F |
|
47 |
46 |
$0.00 |
| 1126F |
|
207 |
201 |
$0.00 |
| G8754 |
Dias bp less 90 |
52 |
51 |
$0.00 |
| 86580 |
|
14 |
14 |
$0.00 |