P & C MEDICAL GROUP, LLC
NPI: 1760785398
· ELIZABETH, NJ 07208
· 207Q00000X
$3.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24,021 |
$613K |
| 2019 |
27,900 |
$479K |
| 2020 |
25,591 |
$312K |
| 2021 |
28,863 |
$350K |
| 2022 |
71,820 |
$605K |
| 2023 |
85,105 |
$774K |
| 2024 |
66,802 |
$479K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
19,888 |
18,062 |
$1.16M |
| 99213 |
|
21,183 |
19,244 |
$979K |
| 99396 |
|
4,921 |
4,763 |
$414K |
| 99401 |
|
8,296 |
7,676 |
$203K |
| 99395 |
|
2,099 |
2,056 |
$174K |
| 99490 |
Ccm add 20min |
6,971 |
6,625 |
$140K |
| 99204 |
|
1,227 |
1,166 |
$123K |
| 99203 |
|
1,611 |
1,601 |
$122K |
| 93000 |
|
11,245 |
10,781 |
$115K |
| G0108 |
Diab manage trn per indiv |
1,753 |
1,634 |
$47K |
| 99232 |
|
768 |
214 |
$41K |
| 99439 |
|
2,280 |
2,039 |
$27K |
| 96127 |
|
4,948 |
4,645 |
$15K |
| 99397 |
|
280 |
247 |
$10K |
| 99215 |
Prolong outpt/office vis |
102 |
101 |
$8K |
| 82962 |
|
9,382 |
8,147 |
$6K |
| 93923 |
|
103 |
101 |
$6K |
| 99212 |
|
142 |
141 |
$5K |
| 99406 |
|
391 |
363 |
$4K |
| 99222 |
|
38 |
36 |
$3K |
| G0439 |
Ppps, subseq visit |
277 |
268 |
$2K |
| 99442 |
|
99 |
92 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| G0444 |
Depression screen annual |
743 |
658 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$986.66 |
| 3078F |
|
18,223 |
15,513 |
$948.91 |
| 1126F |
|
18,974 |
16,032 |
$941.87 |
| 3074F |
|
16,502 |
14,028 |
$878.83 |
| 99238 |
|
20 |
18 |
$736.63 |
| G0447 |
Behavior counsel obesity 15m |
154 |
141 |
$726.78 |
| 90686 |
|
52 |
52 |
$711.05 |
| 3008F |
|
6,969 |
6,486 |
$650.50 |
| 90471 |
|
49 |
49 |
$542.07 |
| 1160F |
|
22,788 |
19,248 |
$399.21 |
| 1125F |
|
7,762 |
6,949 |
$293.21 |
| 90688 |
|
21 |
21 |
$275.38 |
| 3079F |
|
4,402 |
4,001 |
$215.14 |
| 3075F |
|
3,518 |
3,167 |
$174.13 |
| 3077F |
|
4,140 |
3,732 |
$155.18 |
| 3044F |
|
2,105 |
1,938 |
$82.13 |
| 1159F |
|
12,804 |
11,407 |
$70.20 |
| 3080F |
|
896 |
775 |
$42.00 |
| 4010F |
|
768 |
737 |
$33.00 |
| 36416 |
|
154 |
151 |
$15.66 |
| 1158F |
|
1,421 |
1,362 |
$15.00 |
| 3061F |
|
259 |
253 |
$14.00 |
| G9968 |
Pt refrd 2 pvdr/spclst in pp |
52 |
52 |
$10.00 |
| 94760 |
|
131 |
129 |
$9.54 |
| 96160 |
|
24 |
24 |
$5.97 |
| 3051F |
|
135 |
121 |
$4.01 |
| 3046F |
|
21 |
15 |
$3.00 |
| 1170F |
|
1,500 |
1,437 |
$2.00 |
| 3045F |
|
28 |
26 |
$2.00 |
| 2010F |
|
26,136 |
21,980 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
17,649 |
15,286 |
$0.00 |
| 2001F |
|
25,049 |
20,965 |
$0.00 |
| 2000F |
|
11,553 |
9,347 |
$0.00 |
| 3014F |
|
425 |
393 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
1,487 |
1,237 |
$0.00 |
| 3049F |
|
163 |
163 |
$0.00 |
| 3319F |
|
167 |
167 |
$0.00 |
| 1036F |
|
1,529 |
1,418 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
383 |
355 |
$0.00 |
| 1034F |
|
179 |
169 |
$0.00 |
| 4037F |
|
45 |
45 |
$0.00 |
| 3017F |
|
175 |
152 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,868 |
1,766 |
$0.00 |
| G9459 |
Tob non-user |
329 |
303 |
$0.00 |
| 3120F |
|
142 |
141 |
$0.00 |
| 3351F |
|
17 |
17 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
16,969 |
14,763 |
$0.00 |
| 1124F |
|
496 |
477 |
$0.00 |
| 0518F |
|
206 |
197 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,731 |
1,636 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
58 |
54 |
$0.00 |
| G8476 |
Bp sys <140 and dias <90 |
302 |
288 |
$0.00 |
| 3050F |
|
71 |
70 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
246 |
234 |
$0.00 |
| 3015F |
|
48 |
42 |
$0.00 |
| 3288F |
|
23 |
22 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |