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ICT INTERNAL MEDICINE & PAIN MANAGEMENT, LLC
ICT INTERNAL MEDICINE & PAIN MANAGEMENT, LLC
NPI: 1568910768
· WICHITA, KS 67212
· 207R00000X
$1.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,978 |
$96K |
| 2019 |
10,194 |
$121K |
| 2020 |
9,618 |
$179K |
| 2021 |
10,538 |
$206K |
| 2022 |
10,499 |
$184K |
| 2023 |
8,144 |
$138K |
| 2024 |
6,909 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
30,790 |
25,004 |
$820K |
| 80305 |
|
28,095 |
23,502 |
$141K |
| 99204 |
|
912 |
727 |
$47K |
| 99213 |
|
614 |
478 |
$10K |
| 80307 |
|
165 |
151 |
$4K |
| 20610 |
|
93 |
70 |
$2K |
| 99203 |
|
31 |
26 |
$1K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 90756 |
|
139 |
113 |
$1K |
| 99212 |
|
113 |
83 |
$1K |
| 90471 |
|
98 |
97 |
$957.21 |
| 90662 |
|
56 |
42 |
$938.96 |
| 90688 |
|
29 |
23 |
$249.76 |
| J3301 |
Triamcinolone acet inj nos |
217 |
168 |
$10.56 |
| G0483 |
Drug test def 22+ classes |
83 |
80 |
$10.00 |
| G9902 |
Pt scrn tbco and id as user |
1,373 |
868 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
1,376 |
867 |
$0.00 |
| 99406 |
|
98 |
86 |
$0.00 |
| 1036F |
|
104 |
91 |
$0.00 |
| G0008 |
Admin influenza virus vac |
51 |
36 |
$0.00 |
| G8730 |
Pain doc pos and plan |
3,127 |
2,069 |
$0.00 |
| 4004F |
|
301 |
259 |
$0.00 |