WINNIE COMMUNITY HOSPITAL, L.L.C.

$455K

Total Medicaid Paid

35,394

Total Claims

30,887

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		6,956	5,898	$264K
99213		4,358	3,751	$124K
99307		4,967	4,875	$26K
99203		278	272	$11K
87502		146	132	$7K
99204		99	92	$7K
87635		126	118	$4K
96372		382	291	$3K
87651		148	138	$3K
87811		66	63	$2K
99202		73	69	$854.14
99215	Prolong outpt/office vis	14	12	$827.50
99212		36	32	$822.36
83037		131	120	$538.05
81002		92	83	$184.47
87804		37	34	$164.30
99308		209	208	$106.63
3044F		14	14	$80.00
87880		27	26	$54.18
93005		13	13	$40.64
82948		19	16	$24.12
36415		1,341	1,223	$12.75
G8431	Pos clin depres scrn f/u doc	52	46	$0.01
G8510	Scr dep neg, no plan reqd	32	28	$0.01
1159F		3,393	2,765	$0.00
3078F		65	58	$0.00
G8427	Docrev cur meds by elig clin	2,056	1,721	$0.00
1160F		3,546	2,885	$0.00
G8417	Calc bmi abv up param f/u	308	282	$0.00
3028F		419	379	$0.00
G8753	Sys bp > or = 140	48	44	$0.00
3077F		57	53	$0.00
3008F		443	401	$0.00
3074F		57	50	$0.00
1125F		1,368	1,215	$0.00
1126F		2,419	2,031	$0.00
G8754	Dias bp less 90	130	119	$0.00
2001F		458	412	$0.00
3080F		31	30	$0.00
G9902	Pt scrn tbco and id as user	71	62	$0.00
2000F		474	429	$0.00
96127		188	170	$0.00
4010F		31	29	$0.00
1036F		94	84	$0.00
1170F		13	12	$0.00
99484		17	16	$0.00
3048F		31	29	$0.00
G9906	Pt recv tbco cess interv	32	28	$0.00
96156		29	29	$0.00

Medicaid Provider Spending