ROSALIE A. DE GUZMAN, M.D., INC.

$99K

Total Medicaid Paid

56,649

Total Claims

54,682

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92551		7,179	7,144	$56K
90686		2,937	2,930	$14K
90651		1,184	1,179	$6K
G9920	Scrning perf and negative	4,081	4,074	$6K
90734		823	823	$4K
90715		444	442	$2K
90707		323	321	$2K
90716		304	302	$1K
90688		282	282	$1K
90460		1,131	391	$948.00
90696		173	173	$845.58
90621		163	163	$816.00
99460		15	15	$760.45
90620		141	141	$696.00
99213		13,498	12,627	$632.42
90670		119	119	$600.00
86580		69	69	$520.00
90633		99	99	$492.00
99462		15	15	$406.03
94640		44	43	$380.00
90685		39	39	$192.00
90700		30	30	$162.00
90648		25	25	$132.00
90744		13	13	$117.00
90619		190	190	$12.00
85018		1,279	1,239	$4.52
81000		1,366	1,337	$2.81
3351F		601	601	$0.00
96156		1,238	1,235	$0.00
G8510	Scr dep neg, no plan reqd	1,636	1,624	$0.00
3352F		358	358	$0.00
1220F		114	113	$0.00
99214		75	73	$0.00
96110		61	60	$0.00
G0442	Annual alcohol screen 15 min	75	75	$0.00
3353F		16	16	$0.00
99173		7,149	7,075	$0.00
99211		874	871	$0.00
99392		1,072	1,048	$0.00
99393		2,891	2,863	$0.00
99391		44	26	$0.00
99394		2,645	2,633	$0.00
99395		307	303	$0.00
G2012	Brief check in by md/qhp	1,291	1,247	$0.00
87880		36	36	$0.00
G8431	Pos clin depres scrn f/u doc	66	66	$0.00
G0444	Depression screen annual	22	22	$0.00
90672		112	112	$0.00

Medicaid Provider Spending