NORTHWEST MEDICAL SPECIALTIES PLLC

$2.46M

Total Medicaid Paid

122,724

Total Claims

91,023

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		23,193	20,398	$900K
96413		7,055	5,125	$339K
99215	Prolong outpt/office vis	4,612	3,877	$233K
80053		14,601	10,077	$132K
99233	Prolong inpt eval add15 m	2,830	1,163	$126K
85025		17,982	12,326	$121K
99223	Prolong inpt eval add15 m	1,057	1,012	$99K
99232		2,820	1,417	$88K
96365		2,699	2,004	$72K
36415		18,944	13,571	$60K
J1447	Inj tbo filgrastim 1 microg	282	140	$49K
96375		4,504	3,009	$45K
99213		1,455	1,272	$38K
96367		1,845	1,312	$30K
96372		3,729	2,456	$27K
96361		4,130	3,220	$22K
J1453	Fosaprepitant injection	255	192	$18K
99205	Prolong outpt/office vis	130	125	$10K
J2469	Palonosetron hcl	302	222	$10K
82728		439	424	$5K
83615		818	716	$4K
99204		58	58	$4K
84466		343	331	$4K
82378		218	176	$3K
99222		54	53	$3K
96417		81	60	$3K
J7040	Normal saline solution infus	2,890	2,306	$2K
J1100	Dexamethasone sodium phos	3,596	2,385	$2K
96415		131	75	$2K
0001A		71	68	$2K
83540		343	331	$2K
0002A		57	57	$2K
85027		263	249	$1K
J1756	Iron sucrose injection	37	24	$1K
85652		353	333	$931.33
G2211	Complex e/m visit add on	293	274	$830.41
99231		36	25	$738.14
99221		18	17	$533.97
96368		15	12	$162.24
82306		13	13	$67.16
J7030	Normal saline solution infus	30	13	$55.00
J3420	Vitamin b12 injection	47	40	$48.90
85651		13	13	$35.66
J1200	Diphenhydramine hcl injectio	37	25	$29.04
J2405	Ondansetron hcl injection	45	27	$18.94

Medicaid Provider Spending