CAROLINA FOOT AND MEDICAL CARE

$131K

Total Medicaid Paid

8,609

Total Claims

8,133

Beneficiaries

20

Codes Billed

2018-01

First Month

2018-10

Last Month

Authorized Official	NETTLES, ANITA (OFFICE MANAGER)
NPI Enumeration Date	03/23/2009

Year	Claims	Total Paid
2018	8,609	$131K

Code	Description	Claims	Beneficiaries	Total Paid
99336		1,328	1,217	$51K
99337		541	501	$33K
17110		697	638	$14K
99308	Subsequent nursing facility care, per day, straightforward	800	771	$13K
99309	Subsequent nursing facility care, per day, low to moderate complexity	259	251	$4K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	123	110	$4K
99310	Prolong nursin fac eval 15m	153	150	$4K
99335		89	88	$2K
11730		222	196	$2K
11719		696	647	$962.40
11056		249	222	$860.95
99327		12	12	$683.53
11721		2,526	2,445	$652.94
11057		124	115	$586.38
17250		28	28	$462.51
99334		28	28	$457.03
11732		33	30	$221.82
11055		57	53	$144.50
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14	13	$135.76
11720		630	618	$0.00

Medicaid Provider Spending