ORTHO EXPRESS HOLDING COMPANY, LLC
NPI: 1780218289
· TUPELO, MS 38804
· 363LF0000X
$292K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
813 |
$27K |
| 2023 |
7,601 |
$157K |
| 2024 |
2,755 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,368 |
2,524 |
$142K |
| 99203 |
|
1,292 |
986 |
$55K |
| 99214 |
|
867 |
638 |
$38K |
| 99204 |
|
173 |
132 |
$11K |
| 99212 |
|
422 |
295 |
$9K |
| 20611 |
|
323 |
188 |
$7K |
| 73562 |
|
460 |
297 |
$6K |
| 73610 |
|
248 |
167 |
$4K |
| 96372 |
|
883 |
613 |
$3K |
| 73630 |
|
303 |
183 |
$3K |
| 73110 |
|
298 |
144 |
$3K |
| 29075 |
|
113 |
58 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
1,137 |
799 |
$2K |
| 73130 |
|
134 |
79 |
$2K |
| 72100 |
|
140 |
95 |
$2K |
| 73030 |
|
97 |
61 |
$969.93 |
| 29125 |
|
40 |
27 |
$944.23 |
| J1885 |
Ketorolac tromethamine inj |
742 |
523 |
$539.82 |
| 72040 |
|
43 |
32 |
$426.03 |
| 73521 |
|
26 |
14 |
$181.44 |
| Q4010 |
Cast sup sht arm adult fbrgl |
18 |
12 |
$168.17 |
| 20552 |
|
25 |
13 |
$156.92 |
| L4361 |
Pneuma/vac walk boot pre ots |
17 |
12 |
$0.00 |