EASTERN PARK MEDICAL SERVICES,P.C.

$62K

Total Medicaid Paid

43,490

Total Claims

42,216

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		5,360	5,325	$37K
93000		764	762	$8K
87110		462	462	$3K
99401		1,368	1,363	$2K
99441		534	527	$2K
3074F		1,653	1,642	$2K
3078F		1,386	1,378	$2K
3079F		880	878	$1K
99396		300	300	$1K
36415		3,763	3,592	$555.96
96127		631	630	$485.22
1159F		2,423	2,165	$435.00
3077F		168	168	$387.50
3075F		304	304	$382.50
90756		50	50	$288.45
99214		13	13	$258.37
1125F		1,233	1,222	$250.00
1160F		1,959	1,864	$207.50
90471		30	29	$204.93
1126F		901	897	$180.00
A4556	Electrodes, pair	602	600	$143.24
H0001	Alcohol and/or drug assess	867	867	$130.14
A4930	Sterile, gloves per pair	3,147	2,995	$62.84
99000		3,123	2,975	$34.73
G2012	Brief check in by md/qhp	17	17	$14.00
3048F		115	115	$10.00
G9622	No unheal etoh user	1,041	1,041	$7.02
1170F		112	110	$5.00
G8510	Scr dep neg, no plan reqd	965	965	$0.52
A6413	Adhesive bandage, first-aid	3,194	3,044	$0.26
4010F		633	557	$0.08
3008F		1,198	1,190	$0.04
0521F		954	948	$0.04
4008F		183	160	$0.00
1000F		677	676	$0.00
3049F		26	26	$0.00
1036F		715	715	$0.00
G8420	Calc bmi norm parameters	96	96	$0.00
3014F		14	14	$0.00
3725F		733	731	$0.00
4013F		835	742	$0.00
3016F		26	26	$0.00
G8417	Calc bmi abv up param f/u	35	35	$0.00

Medicaid Provider Spending