INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI: 1588278204
· GRAND JUNCTION, CO 81501
· 207RH0003X
$624K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
668 |
$30K |
| 2021 |
7,223 |
$241K |
| 2022 |
9,565 |
$353K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,782 |
2,512 |
$175K |
| 99215 |
Prolong outpt/office vis |
893 |
842 |
$93K |
| 99213 |
|
1,517 |
1,421 |
$73K |
| 93010 |
|
7,323 |
6,802 |
$49K |
| 99204 |
|
290 |
283 |
$38K |
| 93306 |
|
583 |
576 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
402 |
182 |
$29K |
| 76816 |
|
427 |
356 |
$26K |
| 97110 |
|
401 |
219 |
$17K |
| 11042 |
|
704 |
527 |
$15K |
| 76811 |
|
78 |
78 |
$15K |
| 99203 |
|
96 |
91 |
$9K |
| 93000 |
|
618 |
614 |
$8K |
| 97803 |
|
197 |
182 |
$6K |
| 99212 |
|
141 |
129 |
$6K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$5K |
| 94729 |
|
200 |
196 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$4K |
| 76819 |
|
51 |
39 |
$4K |
| 94726 |
|
170 |
166 |
$4K |
| 97140 |
|
115 |
64 |
$3K |
| 94060 |
|
91 |
90 |
$2K |
| 99232 |
|
21 |
12 |
$1K |
| 90792 |
|
19 |
14 |
$1K |
| 99239 |
|
15 |
15 |
$864.73 |
| 97802 |
|
12 |
12 |
$833.09 |
| 97760 |
|
42 |
36 |
$740.62 |
| 95886 |
|
15 |
15 |
$683.30 |
| 90960 |
|
14 |
12 |
$612.51 |
| 93296 |
|
15 |
13 |
$308.63 |
| 73110 |
|
27 |
25 |
$304.43 |
| J3301 |
Triamcinolone acet inj nos |
50 |
50 |
$298.10 |
| 90471 |
|
12 |
12 |
$130.08 |
| J1030 |
Methylprednisolone 40 mg inj |
31 |
21 |
$127.20 |
| 36415 |
|
25 |
24 |
$48.73 |
| 85018 |
|
14 |
14 |
$20.49 |
| J0702 |
Betamethasone acet&sod phosp |
13 |
12 |
$9.53 |