LACKAWANNA MEDICAL GROUP PC
NPI: 1770650962
· SCRANTON, PA 18508
· 207RC0000X
$140K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
709 |
$3K |
| 2019 |
469 |
$3K |
| 2020 |
474 |
$12K |
| 2021 |
1,919 |
$55K |
| 2022 |
2,295 |
$50K |
| 2023 |
773 |
$15K |
| 2024 |
56 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,484 |
2,377 |
$95K |
| 99213 |
|
883 |
801 |
$27K |
| 99393 |
|
108 |
105 |
$9K |
| 99394 |
|
36 |
36 |
$3K |
| 99490 |
Ccm add 20min |
440 |
440 |
$3K |
| 90686 |
|
554 |
552 |
$2K |
| 90460 |
|
12 |
12 |
$226.99 |
| 3079F |
|
152 |
150 |
$70.00 |
| 96127 |
|
13 |
13 |
$52.00 |
| 3078F |
|
240 |
238 |
$50.00 |
| 3074F |
|
444 |
432 |
$50.00 |
| 99173 |
|
430 |
426 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
335 |
302 |
$0.00 |
| 92552 |
|
399 |
395 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
68 |
68 |
$0.00 |
| G8482 |
Flu immunize order/admin |
29 |
29 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
56 |
56 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |