BON SECOURS DEPAUL MEDICAL CENTER LLC
NPI: 1619001906
· NORFOLK, VA 23505
· 207R00000X
$658K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,322 |
$137K |
| 2019 |
9,203 |
$251K |
| 2020 |
5,037 |
$208K |
| 2021 |
1,517 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,689 |
7,295 |
$437K |
| 99213 |
|
5,197 |
4,380 |
$191K |
| 99396 |
|
119 |
106 |
$9K |
| 99203 |
|
119 |
110 |
$8K |
| 90686 |
|
481 |
452 |
$7K |
| 99395 |
|
25 |
25 |
$2K |
| 99204 |
|
13 |
12 |
$1K |
| 99212 |
|
43 |
35 |
$992.96 |
| 96372 |
|
27 |
25 |
$440.49 |
| J3301 |
Triamcinolone acet inj nos |
31 |
29 |
$366.75 |
| 90471 |
|
68 |
54 |
$363.92 |
| 99442 |
|
17 |
17 |
$362.35 |
| G0008 |
Admin influenza virus vac |
28 |
26 |
$9.50 |
| G8427 |
Docrev cur meds by elig clin |
3,188 |
2,268 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
343 |
256 |
$0.00 |
| G8752 |
Sys bp less 140 |
625 |
442 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
34 |
25 |
$0.00 |
| 2022F |
|
75 |
64 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
210 |
163 |
$0.00 |
| 1090F |
|
17 |
13 |
$0.00 |
| G8399 |
Pt w/dxa results document |
16 |
12 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
1,534 |
1,123 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
149 |
109 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,371 |
961 |
$0.00 |
| 3017F |
|
1,844 |
1,345 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
1,321 |
939 |
$0.00 |
| 1101F |
|
173 |
123 |
$0.00 |
| G8536 |
No doc elder mal scrn |
278 |
195 |
$0.00 |
| G8428 |
Cur meds not document |
26 |
24 |
$0.00 |
| 3014F |
|
18 |
13 |
$0.00 |