PACKARD HEALTH, INC.

$2.44M

Total Medicaid Paid

62,141

Total Claims

55,071

Beneficiaries

57

Codes Billed

2021-08

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Fqhc visit, estab pt	21,491	18,896	$1.69M
S0280	Medical home, initial plan	1,637	1,060	$292K
G0470	Fqhc visit, mh estab pt	3,061	1,967	$228K
G0466	Fqhc visit new patient	1,647	1,638	$160K
99214		8,410	7,798	$21K
99213		9,329	8,526	$17K
90480		152	150	$4K
99203		566	564	$3K
90834		1,595	892	$3K
90792		497	484	$2K
91322		39	39	$2K
0064A		79	79	$2K
99212		755	703	$1K
0124A		76	71	$1K
99391		358	332	$1K
90656		91	91	$983.40
0134A		69	67	$969.36
99204		151	151	$940.81
80305		1,762	1,552	$844.83
0054A		25	25	$756.52
0004A		23	22	$714.35
99349		591	563	$705.66
91320		29	28	$655.50
90471		1,195	1,174	$638.21
99392		108	108	$611.26
90791		132	125	$564.01
90472		325	322	$511.50
96127		1,580	1,478	$329.94
83036		835	832	$233.16
90832		130	111	$227.95
96372		648	578	$165.28
90686		461	454	$155.62
99393		44	44	$145.58
H2011	Crisis interven svc, 15 min	15	13	$100.50
81025		307	299	$92.69
90460		94	92	$90.39
99395		96	96	$81.34
Q0091	Obtaining screen pap smear	28	28	$53.88
81002		236	234	$26.02
90688		139	137	$20.88
36415		280	270	$19.84
99396		47	45	$0.00
99215	Prolong outpt/office vis	67	63	$0.00
3077F		484	461	$0.00
90461		14	14	$0.00
80354		86	77	$0.00
83037		66	66	$0.00
99173		38	38	$0.00
90633		13	13	$0.00
36416		1,231	1,217	$0.00
G0008	Admin influenza virus vac	66	66	$0.00
3080F		426	412	$0.00
3075F		335	330	$0.00
1111F		57	55	$0.00
3044F		73	70	$0.00
99406		40	39	$0.00
92551		12	12	$0.00

Medicaid Provider Spending