LEWISGALE MEDICAL CENTER, LLC
NPI: 1396483178
· ROANOKE, VA 24012
· 261QE0002X
$413K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
311 |
$11K |
| 2023 |
3,267 |
$205K |
| 2024 |
3,925 |
$197K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,521 |
1,400 |
$236K |
| 99284 |
|
629 |
578 |
$108K |
| 99282 |
|
408 |
377 |
$65K |
| 87804 |
|
735 |
641 |
$1K |
| 80053 |
|
579 |
532 |
$919.00 |
| 93005 |
|
210 |
189 |
$834.74 |
| 85027 |
|
647 |
594 |
$239.98 |
| 96374 |
|
311 |
290 |
$150.17 |
| 87426 |
|
711 |
654 |
$104.15 |
| 87880 |
|
409 |
383 |
$13.86 |
| 84703 |
|
323 |
305 |
$7.52 |
| 81003 |
|
506 |
474 |
$2.25 |
| J1885 |
Ketorolac tromethamine inj |
29 |
28 |
$1.66 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
13 |
$0.78 |
| 71045 |
|
213 |
198 |
$0.00 |
| 84484 |
|
27 |
24 |
$0.00 |
| 96372 |
|
44 |
37 |
$0.00 |
| 87070 |
|
57 |
53 |
$0.00 |
| 82150 |
|
13 |
12 |
$0.00 |
| 96375 |
|
29 |
28 |
$0.00 |
| 87807 |
|
21 |
20 |
$0.00 |
| J7030 |
Normal saline solution infus |
55 |
51 |
$0.00 |