PENN STATE HEALTH MEDICAL GROUP, LLC
NPI: 1801433149
· LEMOYNE, PA 17043
· 2080P0214X
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,567 |
$49K |
| 2022 |
745 |
$19K |
| 2023 |
1,047 |
$41K |
| 2024 |
311 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
2,226 |
761 |
$93K |
| 99214 |
|
141 |
137 |
$10K |
| 99213 |
|
110 |
107 |
$6K |
| 99291 |
|
27 |
12 |
$4K |
| 95810 |
|
40 |
40 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
72 |
72 |
$2K |
| 95806 |
|
51 |
50 |
$2K |
| 94729 |
|
14 |
13 |
$342.39 |
| 94727 |
|
12 |
12 |
$255.94 |
| 94060 |
|
12 |
12 |
$232.43 |
| 4004F |
|
147 |
145 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
595 |
585 |
$0.00 |
| 3023F |
|
126 |
125 |
$0.00 |
| G8843 |
Doc reas no ahi rdi rei |
12 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
85 |
83 |
$0.00 |