IHA OLMA SPECIALTY SERVICES LLC
NPI: 1457094278
· PONTIAC, MI 48341
· 207RH0003X
$219K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
353 |
$19K |
| 2023 |
1,729 |
$102K |
| 2024 |
2,466 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
749 |
602 |
$73K |
| 99214 |
|
1,002 |
961 |
$70K |
| 99205 |
Prolong outpt/office vis |
216 |
216 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
233 |
216 |
$23K |
| 99213 |
|
150 |
148 |
$7K |
| 99232 |
|
159 |
75 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
98 |
39 |
$6K |
| 36415 |
|
891 |
863 |
$4K |
| 99204 |
|
12 |
12 |
$1K |
| G2211 |
Complex e/m visit add on |
15 |
12 |
$35.85 |
| 3074F |
|
430 |
397 |
$0.00 |
| 3075F |
|
29 |
28 |
$0.00 |
| 3078F |
|
564 |
518 |
$0.00 |