PENN STATE HEALTH MEDICAL GROUP, LLC
NPI: 1457824013
· HARRISBURG, PA 17111
· 2085R0202X
$841K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
345 |
$2K |
| 2020 |
1,779 |
$22K |
| 2021 |
9,440 |
$136K |
| 2022 |
11,394 |
$197K |
| 2023 |
13,618 |
$278K |
| 2024 |
9,897 |
$206K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
|
4,817 |
4,740 |
$315K |
| 71046 |
|
14,270 |
14,041 |
$119K |
| 77067 |
|
3,365 |
3,352 |
$111K |
| 71045 |
|
14,925 |
14,047 |
$93K |
| 77063 |
|
2,147 |
2,140 |
$53K |
| 70450 |
|
1,690 |
1,642 |
$47K |
| 74176 |
|
535 |
531 |
$33K |
| 76830 |
|
380 |
379 |
$12K |
| 76642 |
|
369 |
323 |
$9K |
| 76816 |
|
183 |
159 |
$7K |
| 71275 |
|
81 |
78 |
$5K |
| 73630 |
|
701 |
577 |
$5K |
| 76705 |
|
181 |
178 |
$4K |
| G0279 |
Tomosynthesis, mammo |
238 |
224 |
$4K |
| 73564 |
|
443 |
361 |
$4K |
| 77065 |
Tomosynthesis, mammo |
136 |
134 |
$4K |
| 73030 |
|
449 |
386 |
$3K |
| 70553 |
|
40 |
40 |
$3K |
| 73610 |
|
350 |
313 |
$3K |
| 73562 |
|
192 |
135 |
$1K |
| 76815 |
|
44 |
38 |
$1K |
| 73130 |
|
153 |
124 |
$1K |
| 77066 |
Tomosynthesis, mammo |
32 |
27 |
$985.35 |
| 70551 |
|
14 |
14 |
$722.02 |
| 73110 |
|
73 |
62 |
$522.58 |
| 72110 |
|
60 |
56 |
$480.43 |
| 76700 |
|
14 |
14 |
$471.46 |
| 74018 |
|
51 |
48 |
$397.43 |
| 72125 |
|
12 |
12 |
$350.07 |
| 76536 |
|
12 |
12 |
$263.56 |
| 73560 |
|
36 |
27 |
$229.74 |
| 72100 |
|
14 |
12 |
$115.48 |
| G9637 |
Doc >1 dose reduc tech |
349 |
311 |
$0.00 |
| 7025F |
|
12 |
12 |
$0.00 |
| G9551 |
Imag no les |
105 |
101 |
$0.00 |