MALLORY-WHITMORE, MONICA
NPI: 1447267042
· PHILA, PA 19146
· 207Q00000X
$279K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$2K |
| 2019 |
624 |
$32K |
| 2020 |
136 |
$12K |
| 2021 |
187 |
$22K |
| 2022 |
299 |
$45K |
| 2023 |
597 |
$88K |
| 2024 |
392 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
1,752 |
1,593 |
$279K |
| 90686 |
|
12 |
12 |
$209.33 |
| 90471 |
|
12 |
12 |
$197.78 |
| 99173 |
|
14 |
14 |
$0.00 |
| 99213 |
|
275 |
257 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
159 |
146 |
$0.00 |
| 92551 |
|
28 |
26 |
$0.00 |