HYDE PARK HEALTH ASSOCIATES INC.

$670K

Total Medicaid Paid

14,919

Total Claims

12,228

Beneficiaries

20

Codes Billed

2018-01

First Month

2024-11

Last Month

Authorized Official	BONNET, CLIFFORD (OFFICE MANAGER)
NPI Enumeration Date	09/28/2006

Code	Description	Claims	Beneficiaries	Total Paid
99214		8,754	6,560	$521K
99213		2,337	2,030	$97K
99490	Ccm add 20min	1,521	1,482	$22K
99401		466	435	$11K
90682		192	190	$5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	143	138	$5K
90670		50	49	$2K
95943		32	28	$1K
99443		39	32	$1K
82950		407	364	$946.54
99402		14	12	$720.53
99487	Ccm add 20min	60	56	$676.28
90471		58	58	$661.64
G0008	Administration of influenza virus vaccine	150	149	$503.68
36415		21	19	$366.86
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	15	14	$182.40
G0009	Administration of pneumococcal vaccine	46	45	$161.28
93000		15	14	$137.84
82962		204	187	$105.56
G8510	Screening for depression is documented as negative, a follow-up plan is not required	395	366	$7.00

Medicaid Provider Spending