BERKSHIRE MEDICAL CENTER, INC.

$2.21M

Total Medicaid Paid

188,184

Total Claims

60,948

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		29,016	2,045	$1.57M
90935		13,453	999	$529K
J0882	Darbepoetin alfa, esrd use	6,570	2,112	$79K
J1756	Iron sucrose injection	5,271	1,682	$20K
83970		2,293	2,163	$2K
85025		5,841	3,057	$967.10
82728		3,391	3,080	$966.89
84466		3,391	3,080	$906.21
J1644	Inj heparin sodium per 1000u	19,876	1,641	$658.76
85018		5,554	1,925	$550.52
85014		5,554	1,925	$550.52
87340		677	596	$522.34
83540		3,393	3,079	$459.01
84132		8,824	3,097	$458.81
82310		6,964	3,091	$363.80
82306		76	58	$274.86
90688		79	78	$205.22
86704		435	408	$174.02
86803		439	412	$167.86
86709		438	412	$162.68
86706		436	409	$151.06
83036		372	351	$87.79
84520		8,109	3,101	$63.28
J0636	Inj calcitriol per 0.1 mcg	621	65	$54.04
90686		16	16	$41.64
90694		13	13	$31.41
82040		3,437	3,073	$5.11
82962		17,316	1,192	$0.00
G0008	Admin influenza virus vac	140	139	$0.00
J0606	Inj, etelcalcetide, 0.1 mg	16,664	1,223	$0.00
G0499	Hepb screen high risk indiv	834	815	$0.00
83550		28	28	$0.00
86769		73	72	$0.00
90480		20	20	$0.00
84100		4,013	3,079	$0.00
84460		3,259	3,069	$0.00
82374		3,796	3,080	$0.00
84295		3,793	3,080	$0.00
82565		3,498	3,068	$0.00
82947		191	95	$0.00
91322		20	20	$0.00

Medicaid Provider Spending