ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC

$707K

Total Medicaid Paid

31,511

Total Claims

23,045

Beneficiaries

33

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
J1745	Infliximab not biosimil 10mg	185	108	$198K
96413		3,410	2,058	$174K
99214		5,149	4,239	$150K
99213		4,838	3,831	$87K
99203		704	599	$26K
96415		1,007	582	$22K
80053		1,748	1,310	$11K
73610		380	327	$8K
99204		128	106	$6K
85025		1,230	947	$6K
73630		309	258	$5K
85652		1,430	1,108	$2K
96365		65	39	$2K
85027		526	379	$2K
96375		116	65	$1K
86140		511	389	$1K
73620		54	49	$977.51
20610		38	25	$962.81
J7050	Normal saline solution infus	4,902	3,030	$831.04
72202		27	26	$632.84
96366		14	12	$479.55
73120		21	14	$402.83
73100		20	12	$397.12
73564		13	12	$307.87
73560		14	12	$266.70
36415		4,324	3,280	$167.70
J3301	Triamcinolone acet inj nos	116	51	$135.38
99070		14	12	$120.92
85651		37	33	$109.12
G2211	Complex e/m visit add on	60	58	$92.66
J2930	Methylprednisolone injection	44	24	$78.84
J1200	Diphenhydramine hcl injectio	48	24	$5.34
99024		29	26	$0.00

Medicaid Provider Spending