SMITH ALLERGY AND ASTHMA OF CENTRAL NEW YORK PLLC

$5.14M

Total Medicaid Paid

71,177

Total Claims

57,573

Beneficiaries

39

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
J2357	Omalizumab injection	677	535	$1.39M
95165		1,288	1,274	$657K
99213		7,010	6,824	$571K
99204		3,509	3,480	$525K
99214		3,782	3,688	$449K
95004		2,258	2,181	$415K
87637		1,830	1,737	$258K
87633		496	473	$203K
94060		4,163	4,125	$194K
95117		17,713	7,481	$189K
U0002	Covid-19 lab test non-cdc	2,210	2,065	$113K
95012		3,570	3,525	$54K
96372		1,993	1,585	$40K
87635		580	520	$28K
99203		243	241	$23K
95115		1,393	704	$12K
99212		109	103	$5K
99441		74	72	$4K
87631		25	23	$4K
82785		148	148	$3K
86003		40	40	$2K
99070		333	330	$577.50
86769		13	13	$560.33
A4614	Hand-held pefr meter	25	14	$484.61
85025		38	38	$280.49
A4617	Mouth piece	3,255	3,213	$258.99
36415		223	223	$9.00
S8110	Peak expiratory flow rate (p	1,068	419	$0.06
G8430	Doc med rsn no medrec	377	375	$0.00
G9903	Pt scrn tbco id as non user	4,637	4,347	$0.00
G9902	Pt scrn tbco and id as user	42	42	$0.00
G9906	Pt recv tbco cess interv	13	13	$0.00
G8482	Flu immunize order/admin	2,079	2,010	$0.00
G9905	No pt tbco scrn rng	373	364	$0.00
G8427	Docrev cur meds by elig clin	2,843	2,679	$0.00
G8483	Flu imm no admin doc rea	863	854	$0.00
G8484	Flu immunize no admin	1,587	1,526	$0.00
G0030	Pt scr tob & cess int	13	13	$0.00
G0029	No tob scr/cess int	284	276	$0.00

Medicaid Provider Spending