PENINSULA ORTHOPAEDIC ASSOC, PA

$3.40M

Total Medicaid Paid

93,738

Total Claims

53,521

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		21,431	17,717	$1.32M
99214		9,261	7,683	$562K
99203		4,621	4,088	$342K
97110		12,403	3,809	$258K
97112		8,931	2,552	$168K
97530		5,163	1,451	$115K
99204		1,274	1,090	$109K
L3000	Ft insert ucb berkeley shell	836	314	$107K
97150		8,212	2,476	$81K
J0702	Betamethasone acet&sod phosp	3,287	2,649	$66K
97140		4,540	1,442	$56K
20610		3,130	2,441	$43K
73110		1,401	876	$36K
73562		1,961	949	$18K
73610		720	544	$15K
97016		1,709	451	$14K
73030		1,298	716	$10K
73620		355	288	$8K
73630		274	205	$8K
L1833	Ko adj jnt pos r sup pre ots	19	12	$6K
29540		303	239	$6K
73502		766	380	$6K
29075		72	49	$5K
73130		184	104	$5K
L3908	Who cock-up nonmolde pre ots	97	66	$4K
73140		117	83	$4K
L4361	Pneuma/vac walk boot pre ots	14	13	$3K
73564		267	137	$3K
99212		48	41	$3K
J1010	Inj, methylpred acetate 1 mg	104	78	$2K
L1820	Ko elas w/ condyle pads & jo	15	15	$2K
97014		232	63	$2K
72100		203	126	$2K
99215	Prolong outpt/office vis	91	52	$2K
99024		197	170	$538.94
72110		50	26	$510.74
73080		20	13	$450.84
20551		33	24	$181.92
Q4051	Splint supplies misc	35	34	$19.76
G8417	Calc bmi abv up param f/u	30	30	$0.00
J7327	Monovisc inj per dose	13	12	$0.00
72170		21	13	$-99.73

Medicaid Provider Spending