INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI: 1356765556
· GRAND JUNCTION, CO 81501
· 207Q00000X
$3.97M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,160 |
$1.29M |
| 2019 |
17,313 |
$1.52M |
| 2020 |
11,354 |
$1.05M |
| 2021 |
267 |
$2K |
| 2022 |
45 |
$3K |
| 2023 |
175 |
$1K |
| 2024 |
2,795 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
2,164 |
1,285 |
$1.17M |
| 99291 |
|
4,507 |
1,435 |
$616K |
| 99214 |
|
9,206 |
7,077 |
$599K |
| 99213 |
|
7,196 |
5,943 |
$339K |
| 99215 |
Prolong outpt/office vis |
1,325 |
1,125 |
$158K |
| 99204 |
|
965 |
856 |
$122K |
| 76811 |
|
722 |
465 |
$110K |
| 76816 |
|
1,855 |
1,165 |
$96K |
| 97110 |
|
2,490 |
1,206 |
$93K |
| 64615 |
|
1,209 |
1,028 |
$87K |
| 99205 |
Prolong outpt/office vis |
531 |
419 |
$79K |
| 99232 |
|
2,201 |
846 |
$75K |
| 99203 |
|
794 |
721 |
$64K |
| 90960 |
|
1,251 |
906 |
$54K |
| 95811 |
|
455 |
373 |
$46K |
| 76819 |
|
510 |
301 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
639 |
244 |
$26K |
| 99212 |
|
557 |
402 |
$20K |
| 97140 |
|
789 |
376 |
$16K |
| 76817 |
|
241 |
133 |
$15K |
| 90961 |
|
206 |
169 |
$14K |
| 99283 |
|
294 |
250 |
$13K |
| 99292 |
|
220 |
58 |
$12K |
| 99202 |
|
212 |
119 |
$12K |
| 95886 |
|
198 |
153 |
$11K |
| 95810 |
|
181 |
159 |
$11K |
| 93010 |
|
1,511 |
1,388 |
$9K |
| 93306 |
|
166 |
154 |
$8K |
| 83036 |
|
885 |
588 |
$6K |
| 99282 |
|
150 |
142 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
52 |
32 |
$5K |
| 43239 |
|
32 |
29 |
$5K |
| 95974 |
|
71 |
57 |
$5K |
| 99281 |
|
210 |
189 |
$4K |
| 11042 |
|
162 |
96 |
$3K |
| 97803 |
|
58 |
55 |
$3K |
| 93000 |
|
176 |
163 |
$2K |
| 59025 |
|
81 |
68 |
$2K |
| Q3014 |
Telehealth facility fee |
72 |
45 |
$1K |
| 73630 |
|
183 |
95 |
$1K |
| 97161 |
|
60 |
54 |
$1K |
| 95977 |
|
44 |
40 |
$875.95 |
| 90471 |
|
40 |
39 |
$787.70 |
| 64493 |
|
12 |
12 |
$781.10 |
| 97112 |
|
51 |
25 |
$773.96 |
| 95819 |
|
48 |
44 |
$719.46 |
| 99222 |
|
13 |
12 |
$659.59 |
| 95806 |
|
14 |
13 |
$580.42 |
| 90686 |
|
42 |
41 |
$567.18 |
| 11721 |
|
66 |
57 |
$566.55 |
| J3301 |
Triamcinolone acet inj nos |
132 |
106 |
$528.25 |
| 64494 |
|
12 |
12 |
$384.84 |
| 82962 |
|
354 |
205 |
$365.76 |
| 95816 |
|
15 |
12 |
$353.44 |
| 20610 |
|
17 |
14 |
$342.24 |
| 36415 |
|
159 |
129 |
$294.58 |
| 72110 |
|
12 |
12 |
$293.40 |
| 29125 |
|
14 |
13 |
$198.04 |
| 73100 |
|
23 |
13 |
$161.20 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$58.19 |
| 95970 |
|
13 |
12 |
$47.81 |
| J1100 |
Dexamethasone sodium phos |
84 |
65 |
$25.08 |
| 99000 |
|
14 |
13 |
$21.00 |
| G2211 |
Complex e/m visit add on |
131 |
130 |
$0.00 |