SOUTHBRIDGE MEDICAL ADVISORY COUNCIL INC
NPI: 1770699621
· WILMINGTON, DE 19801
· 122300000X
$2.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,738 |
$96K |
| 2019 |
4,034 |
$194K |
| 2020 |
2,336 |
$184K |
| 2021 |
3,803 |
$377K |
| 2022 |
4,776 |
$351K |
| 2023 |
9,226 |
$625K |
| 2024 |
4,905 |
$341K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
12,692 |
8,214 |
$1.85M |
| T1015 |
Clinic service |
4,925 |
4,060 |
$168K |
| G0466 |
Fqhc visit new patient |
919 |
602 |
$125K |
| G0470 |
Fqhc visit, mh estab pt |
96 |
60 |
$13K |
| 99213 |
|
5,216 |
3,532 |
$3K |
| D1110 |
|
45 |
39 |
$3K |
| 99214 |
|
4,539 |
3,098 |
$3K |
| D0150 |
|
26 |
26 |
$2K |
| D0330 |
|
13 |
13 |
$1K |
| D0140 |
|
13 |
13 |
$658.80 |
| D0220 |
|
27 |
27 |
$607.56 |
| D0120 |
|
16 |
15 |
$606.34 |
| D1208 |
|
14 |
13 |
$344.28 |
| 99212 |
|
785 |
543 |
$214.50 |
| 99215 |
Prolong outpt/office vis |
279 |
164 |
$96.89 |
| 83036 |
|
741 |
511 |
$96.70 |
| 90792 |
|
79 |
55 |
$45.00 |
| 90471 |
|
39 |
29 |
$26.01 |
| 81025 |
|
197 |
108 |
$17.07 |
| 99173 |
|
799 |
540 |
$16.03 |
| 82962 |
|
1,646 |
1,098 |
$8.65 |
| 81002 |
|
352 |
196 |
$0.15 |
| 90832 |
|
16 |
12 |
$0.02 |
| 99203 |
|
27 |
12 |
$0.01 |
| D1330 |
|
26 |
24 |
$0.00 |
| 0011A |
|
54 |
38 |
$0.00 |
| 91301 |
|
141 |
104 |
$0.00 |
| 0012A |
|
46 |
37 |
$0.00 |
| 92552 |
|
24 |
24 |
$0.00 |
| 99442 |
|
26 |
17 |
$0.00 |