WENTWORTH DOUGLASS PHYSICIAN CORPORATION

$2.67M

Total Medicaid Paid

103,650

Total Claims

78,889

Beneficiaries

67

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		29,819	24,623	$1.30M
99213		17,955	14,980	$530K
90834		6,595	3,625	$303K
93010		28,063	20,776	$120K
99232		3,622	1,387	$59K
93306		2,058	1,730	$55K
90832		1,892	1,186	$50K
99233	Prolong inpt eval add15 m	1,303	545	$32K
99223	Prolong inpt eval add15 m	439	369	$26K
99203		758	672	$26K
99204		213	201	$13K
99215	Prolong outpt/office vis	176	148	$11K
99284		135	131	$9K
99205	Prolong outpt/office vis	123	101	$9K
99238		178	156	$9K
99308		1,112	436	$9K
90471		1,064	1,013	$8K
99239		283	230	$8K
99222		104	88	$7K
76811		112	97	$6K
99220		124	102	$5K
93000		614	548	$5K
73630		434	343	$5K
76816		126	104	$4K
95886		104	90	$4K
97803		268	224	$4K
90686		656	616	$4K
99212		159	133	$4K
20611		157	127	$4K
00731		73	63	$4K
20553		176	143	$3K
97597		264	155	$3K
93971		110	90	$3K
99219		76	64	$3K
90791		50	36	$3K
99244		31	30	$2K
31575		61	50	$2K
93016		196	169	$2K
73610		132	105	$1K
99462		83	66	$1K
92567		235	201	$1K
G2211	Complex e/m visit add on	589	516	$1K
J3301	Triamcinolone acet inj nos	408	342	$1K
83036		253	214	$1K
H0004	Alcohol and/or drug services	28	14	$1K
99202		39	32	$923.05
92557		62	51	$856.97
99243		12	12	$766.35
99241		28	24	$743.61
82947		367	294	$723.92
90792		14	13	$650.00
97802		13	12	$617.19
G0108	Diab manage trn per indiv	14	13	$580.95
76817		33	27	$531.86
95819		15	15	$457.32
36415		773	656	$433.37
99460		13	12	$363.19
96372		29	26	$320.30
36416		707	563	$240.67
95251		13	12	$206.68
72100		13	12	$184.46
73620		14	12	$159.77
93018		13	13	$151.69
73564		17	14	$145.52
94060		13	12	$86.15
99442		18	13	$59.28
G0008	Admin influenza virus vac	19	12	$1.37

Medicaid Provider Spending