GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
NPI: 1447352836
· SAINT PAUL, MN 55101
· 261QM1300X
$1.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,376 |
$65K |
| 2019 |
1,662 |
$119K |
| 2020 |
1,688 |
$160K |
| 2021 |
2,717 |
$253K |
| 2022 |
3,296 |
$334K |
| 2023 |
3,509 |
$356K |
| 2024 |
1,824 |
$167K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
5,087 |
4,443 |
$470K |
| 72082 |
|
1,253 |
1,217 |
$240K |
| 97110 |
|
2,251 |
1,527 |
$190K |
| 64642 |
|
267 |
238 |
$92K |
| 99215 |
Prolong outpt/office vis |
2,235 |
1,932 |
$77K |
| 99213 |
|
1,758 |
1,540 |
$63K |
| 77073 |
|
266 |
258 |
$51K |
| 97530 |
|
571 |
412 |
$46K |
| J0475 |
Baclofen 10 mg injection |
25 |
25 |
$41K |
| 99214 |
|
1,178 |
1,051 |
$36K |
| 64640 |
|
66 |
36 |
$32K |
| 64643 |
|
210 |
188 |
$29K |
| S1040 |
Cranial remolding orthosis |
14 |
14 |
$29K |
| J0585 |
Injection,onabotulinumtoxina |
46 |
37 |
$16K |
| 99211 |
|
162 |
156 |
$11K |
| 29450 |
|
19 |
13 |
$7K |
| 62369 |
|
25 |
25 |
$7K |
| 99212 |
|
113 |
99 |
$5K |
| 76770 |
|
19 |
14 |
$3K |
| 99201 |
|
43 |
41 |
$3K |
| 99202 |
|
13 |
13 |
$2K |
| 97165 |
|
14 |
13 |
$2K |
| J7120 |
Ringers lactate infusion |
118 |
105 |
$782.30 |
| 95874 |
|
13 |
13 |
$776.00 |
| A4215 |
Sterile needle |
98 |
89 |
$375.19 |
| J1100 |
Dexamethasone sodium phos |
61 |
54 |
$346.25 |
| J2405 |
Ondansetron hcl injection |
72 |
65 |
$344.44 |
| J1885 |
Ketorolac tromethamine inj |
47 |
40 |
$172.22 |
| 36415 |
|
15 |
12 |
$0.00 |
| 72170 |
|
13 |
12 |
$0.00 |