STATESVILLE HMA MEDICAL GROUP, LLC
NPI: 1639407737
· STATESVILLE, NC 28625
· 207Q00000X
$2.68M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,934 |
$458K |
| 2019 |
18,945 |
$741K |
| 2020 |
14,914 |
$572K |
| 2021 |
46,204 |
$527K |
| 2022 |
51,456 |
$325K |
| 2023 |
9,071 |
$26K |
| 2024 |
8,772 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
17,494 |
12,441 |
$906K |
| 99213 |
|
14,888 |
9,435 |
$532K |
| 99391 |
|
2,624 |
2,271 |
$222K |
| 99392 |
|
1,888 |
1,662 |
$163K |
| 90460 |
|
3,012 |
2,672 |
$148K |
| 99232 |
|
3,219 |
1,052 |
$108K |
| 93306 |
|
1,349 |
1,236 |
$93K |
| 99199 |
|
26,964 |
26,500 |
$87K |
| 76805 |
|
701 |
367 |
$52K |
| 99238 |
|
838 |
703 |
$40K |
| 99212 |
|
1,600 |
1,120 |
$36K |
| 99460 |
|
546 |
461 |
$29K |
| 99239 |
|
491 |
384 |
$26K |
| 76816 |
|
314 |
218 |
$24K |
| 96110 |
|
3,107 |
2,687 |
$22K |
| 76819 |
|
411 |
159 |
$20K |
| 93351 |
|
262 |
171 |
$18K |
| 99221 |
|
313 |
256 |
$15K |
| 59400 |
|
13 |
12 |
$15K |
| 99203 |
|
402 |
198 |
$12K |
| 99231 |
|
766 |
270 |
$12K |
| 59426 |
|
21 |
19 |
$10K |
| 96160 |
|
2,443 |
2,189 |
$8K |
| 99395 |
|
146 |
68 |
$8K |
| 93000 |
|
1,154 |
1,036 |
$8K |
| 83655 |
|
537 |
476 |
$7K |
| 59025 |
|
337 |
201 |
$5K |
| 99215 |
Prolong outpt/office vis |
50 |
46 |
$5K |
| 81025 |
|
883 |
477 |
$4K |
| S0280 |
Medical home, initial plan |
112 |
98 |
$4K |
| 99393 |
|
69 |
38 |
$3K |
| 99204 |
|
43 |
27 |
$3K |
| 87804 |
|
200 |
155 |
$3K |
| 96161 |
|
694 |
654 |
$2K |
| 99462 |
|
129 |
83 |
$2K |
| 36415 |
|
958 |
588 |
$2K |
| 90474 |
|
110 |
97 |
$2K |
| 81001 |
|
1,584 |
1,062 |
$2K |
| S0281 |
Medical home, maintenance |
16 |
13 |
$2K |
| 20610 |
|
62 |
40 |
$2K |
| 76801 |
|
17 |
15 |
$2K |
| 90471 |
|
90 |
81 |
$2K |
| 93010 |
|
443 |
396 |
$1K |
| 87807 |
|
101 |
64 |
$1K |
| 76817 |
|
16 |
13 |
$1K |
| 96372 |
|
170 |
108 |
$1K |
| 99443 |
|
13 |
12 |
$906.91 |
| 99222 |
|
14 |
12 |
$883.16 |
| 51798 |
|
174 |
90 |
$540.49 |
| D0145 |
|
15 |
15 |
$518.25 |
| 80305 |
|
272 |
96 |
$508.15 |
| 81003 |
|
417 |
206 |
$486.28 |
| 96127 |
|
128 |
116 |
$482.12 |
| 87880 |
|
30 |
30 |
$409.77 |
| J3301 |
Triamcinolone acet inj nos |
88 |
65 |
$284.49 |
| D1206 |
|
15 |
15 |
$228.75 |
| 85018 |
|
520 |
469 |
$134.22 |
| 94640 |
|
12 |
12 |
$101.80 |
| 86703 |
|
21 |
13 |
$74.83 |
| 85025 |
|
55 |
32 |
$63.02 |
| 80061 |
|
23 |
14 |
$55.19 |
| 80053 |
|
23 |
14 |
$44.42 |
| 86592 |
|
22 |
13 |
$21.60 |
| 1036F |
|
9,957 |
5,468 |
$0.00 |
| 90680 |
|
1,079 |
1,020 |
$0.00 |
| 90698 |
|
1,571 |
1,481 |
$0.00 |
| 1125F |
|
1,779 |
1,196 |
$0.00 |
| 3074F |
|
8,890 |
4,899 |
$0.00 |
| 3008F |
|
11,929 |
6,752 |
$0.00 |
| 1126F |
|
650 |
460 |
$0.00 |
| 3079F |
|
2,262 |
1,398 |
$0.00 |
| 90744 |
|
740 |
707 |
$0.00 |
| 1034F |
|
1,280 |
854 |
$0.00 |
| 0501F |
|
43 |
27 |
$0.00 |
| 3075F |
|
229 |
162 |
$0.00 |
| 90716 |
|
59 |
57 |
$0.00 |
| 3080F |
|
205 |
140 |
$0.00 |
| 90686 |
|
291 |
248 |
$0.00 |
| 92551 |
|
13 |
12 |
$0.00 |
| 99024 |
|
13 |
13 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90685 |
|
95 |
90 |
$0.00 |
| 90633 |
|
485 |
413 |
$0.00 |
| 3078F |
|
6,846 |
3,895 |
$0.00 |
| 1159F |
|
10,246 |
5,771 |
$0.00 |
| 90670 |
|
1,611 |
1,511 |
$0.00 |
| 0502F |
|
2,769 |
1,448 |
$0.00 |
| 1160F |
|
12,138 |
6,927 |
$0.00 |
| 99173 |
|
92 |
81 |
$0.00 |
| 3077F |
|
352 |
239 |
$0.00 |
| 3725F |
|
185 |
118 |
$0.00 |
| 90707 |
|
45 |
44 |
$0.00 |