MARANA HEALTH CENTER, INC

$7.25M

Total Medicaid Paid

95,506

Total Claims

74,705

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	39,713	28,517	$7.24M
T1016	Case management	448	335	$4K
99213		14,551	12,833	$720.38
99214		4,810	4,443	$617.74
3044F		505	435	$262.61
3008F		5,539	4,821	$262.61
3079F		1,706	1,528	$262.61
3074F		4,167	3,699	$262.61
H0004	Alcohol and/or drug services	6,137	3,225	$248.08
G0467	Fqhc visit, estab pt	458	405	$70.25
87880		712	657	$46.39
96372		235	182	$35.98
99212		1,125	1,009	$30.88
90837		2,276	1,201	$0.00
3050F		400	348	$0.00
81002		166	154	$0.00
3078F		3,589	3,215	$0.00
H0031	Mh health assess by non-md	1,398	1,350	$0.00
3077F		193	174	$0.00
H2027	Psychoed svc, per 15 min	591	140	$0.00
H2014	Skills train and dev, 15 min	253	177	$0.00
87804		146	133	$0.00
1158F		46	45	$0.00
1159F		28	26	$0.00
90460		12	12	$0.00
3725F		17	16	$0.00
1126F		29	29	$0.00
90471		513	486	$0.00
3049F		1,285	1,166	$0.00
99202		1,100	1,028	$0.00
87637		201	193	$0.00
3075F		574	526	$0.00
3048F		1,002	899	$0.00
90686		428	395	$0.00
90834		417	210	$0.00
90792		173	170	$0.00
1125F		66	65	$0.00
G0008	Admin influenza virus vac	19	15	$0.00
1157F		46	45	$0.00
3014F		47	46	$0.00
3060F		87	74	$0.00
3080F		37	28	$0.00
1170F		46	45	$0.00
99000		139	136	$0.00
90656		43	42	$0.00
J1885	Ketorolac tromethamine inj	21	15	$0.00
1034F		12	12	$0.00

Medicaid Provider Spending