FLORES-CASTILLO, EDGAR

$167K

Total Medicaid Paid

91,622

Total Claims

90,748

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90460		7,952	7,913	$117K
99213		7,135	6,624	$10K
87880		1,432	1,398	$7K
99394		3,201	3,195	$7K
99393		3,146	3,138	$5K
99188		1,881	1,880	$5K
99392		2,112	2,109	$5K
99212		2,007	1,933	$3K
99395		769	769	$2K
92551		9,410	9,396	$1K
90658		139	138	$1K
90686		4,239	4,230	$1K
H0001	Alcohol and/or drug assess	3,616	3,614	$630.02
99391		325	320	$315.85
90660		12	12	$248.82
90461		2,062	2,062	$221.22
97802		2,196	2,196	$196.66
36415		8,468	8,384	$175.00
99383		12	12	$174.10
3074F		295	294	$162.50
3078F		306	306	$160.00
99173		4,304	4,300	$119.37
90471		12	12	$60.00
94640		12	12	$59.16
90707		12	12	$56.00
36406		82	82	$44.54
99211		386	375	$36.00
90633		293	290	$24.00
90685		93	92	$21.81
G9622	No unheal etoh user	2,146	2,144	$0.08
G9820	Doc chlam scr test w/follow	975	973	$0.06
G8510	Scr dep neg, no plan reqd	614	614	$0.01
90715		174	173	$0.00
3725F		2,333	2,331	$0.00
90672		554	554	$0.00
3016F		2,335	2,332	$0.00
90734		876	875	$0.00
90700		14	13	$0.00
90648		282	281	$0.00
G8417	Calc bmi abv up param f/u	2,337	2,328	$0.00
90670		388	387	$0.00
81002		461	454	$0.00
90710		37	37	$0.00
1036F		2,292	2,291	$0.00
G8420	Calc bmi norm parameters	2,125	2,119	$0.00
90651		895	893	$0.00
G8418	Calc bmi blw low param f/u	71	71	$0.00
90696		12	12	$0.00
3008F		6,044	6,021	$0.00
1000F		718	718	$0.00
90716		30	29	$0.00

Medicaid Provider Spending