MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC

$1.48M

Total Medicaid Paid

48,565

Total Claims

27,953

Beneficiaries

55

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H1000	Prenatal care atrisk assessm	12,181	8,632	$486K
99232		13,415	3,959	$331K
99214		5,473	4,421	$144K
99233	Prolong inpt eval add15 m	3,304	1,024	$125K
90792		1,428	1,042	$71K
99223	Prolong inpt eval add15 m	907	618	$56K
99213		2,215	1,888	$46K
99231		2,347	649	$38K
99239		628	498	$28K
99222		609	486	$25K
59410		98	39	$23K
59430		281	247	$19K
99238		436	346	$19K
99204		440	350	$19K
H1001	Antepartum management	148	134	$12K
99385		103	92	$7K
90791		126	91	$5K
31231		65	43	$4K
76801		45	42	$4K
99395		72	63	$3K
99203		44	38	$3K
81025		970	796	$2K
31579		29	24	$2K
99255		38	27	$2K
76815		69	50	$1K
99235		28	14	$1K
99244		27	21	$980.67
87210		56	50	$977.04
85018		770	652	$964.56
36415		151	120	$350.00
96372		38	26	$244.53
31575		16	12	$175.88
81003		169	126	$103.26
76817		13	12	$92.40
95816		23	13	$36.97
1170F		195	153	$0.00
96127		68	64	$0.00
G8428	Cur meds not document	105	65	$0.00
1036F		109	81	$0.00
3074F		14	13	$0.00
3008F		39	29	$0.00
76816		60	44	$0.00
G8420	Calc bmi norm parameters	14	12	$0.00
1126F		15	12	$0.00
1101F		38	28	$0.00
G8427	Docrev cur meds by elig clin	522	343	$0.00
G8431	Pos clin depres scrn f/u doc	88	54	$0.00
1160F		56	43	$0.00
1159F		55	42	$0.00
G8783	Bp scrn perf rec interval	44	28	$0.00
1090F		199	153	$0.00
1124F		114	89	$0.00
G2211	Complex e/m visit add on	13	13	$0.00
3078F		40	28	$0.00
3288F		15	14	$0.00

Medicaid Provider Spending