EASTGATE INTERNAL MEDICINE LTD
NPI: 1750530473
· BENTON HARBOR, MI 49022
· 261QM2500X
$175K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
934 |
$30K |
| 2019 |
1,187 |
$13K |
| 2020 |
1,763 |
$28K |
| 2021 |
1,190 |
$36K |
| 2022 |
1,039 |
$34K |
| 2023 |
726 |
$31K |
| 2024 |
24 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,757 |
1,910 |
$155K |
| 96372 |
|
2,759 |
970 |
$12K |
| 99349 |
|
179 |
81 |
$3K |
| 99406 |
|
363 |
233 |
$3K |
| 99213 |
|
23 |
12 |
$627.00 |
| J1885 |
Ketorolac tromethamine inj |
334 |
114 |
$280.36 |
| J3420 |
Vitamin b12 injection |
255 |
244 |
$231.34 |
| J1200 |
Diphenhydramine hcl injectio |
138 |
36 |
$44.68 |
| 90756 |
|
14 |
14 |
$25.00 |
| J2300 |
Inj nalbuphine hydrochloride |
27 |
12 |
$20.58 |
| G0008 |
Admin influenza virus vac |
14 |
14 |
$7.00 |