GRAHAM HOSPITAL ASSOCIATION
NPI: 1750527172
· LEWISTOWN, IL 61542
· 207Q00000X
$2.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,188 |
$80K |
| 2019 |
15,406 |
$374K |
| 2020 |
10,419 |
$265K |
| 2021 |
6,384 |
$245K |
| 2022 |
9,778 |
$311K |
| 2023 |
12,827 |
$371K |
| 2024 |
12,147 |
$390K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
23,074 |
16,885 |
$2.03M |
| 99391 |
|
199 |
158 |
$139.04 |
| 99213 |
|
13,976 |
10,546 |
$130.84 |
| 99214 |
|
1,832 |
1,360 |
$126.35 |
| 90677 |
|
15 |
12 |
$110.64 |
| 1160F |
|
4,526 |
3,277 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
1,913 |
1,133 |
$0.00 |
| 1159F |
|
4,534 |
3,285 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
7,568 |
5,511 |
$0.00 |
| 99393 |
|
385 |
317 |
$0.00 |
| 99212 |
|
501 |
470 |
$0.00 |
| 90460 |
|
665 |
570 |
$0.00 |
| 87880 |
|
573 |
469 |
$0.00 |
| 90633 |
|
61 |
56 |
$0.00 |
| 4274F |
|
811 |
559 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
502 |
152 |
$0.00 |
| 99392 |
|
319 |
290 |
$0.00 |
| 90461 |
|
322 |
285 |
$0.00 |
| 90734 |
|
107 |
84 |
$0.00 |
| 90670 |
|
41 |
39 |
$0.00 |
| 99394 |
|
305 |
248 |
$0.00 |
| 90715 |
|
87 |
70 |
$0.00 |
| 90710 |
|
29 |
26 |
$0.00 |
| 81003 |
|
18 |
15 |
$0.00 |
| 4004F |
|
30 |
13 |
$0.00 |
| G8752 |
Sys bp less 140 |
28 |
27 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
5,795 |
4,175 |
$0.00 |
| 90651 |
|
127 |
95 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
467 |
388 |
$0.00 |
| 90656 |
|
13 |
12 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |
| 3014F |
|
188 |
166 |
$0.00 |
| G8754 |
Dias bp less 90 |
44 |
44 |
$0.00 |
| 90686 |
|
50 |
47 |
$0.00 |
| 96110 |
|
31 |
27 |
$0.00 |