PICHARDO, JESUS

$593K

Total Medicaid Paid

100,077

Total Claims

98,442

Beneficiaries

71

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90460		6,632	6,568	$110K
99213		6,337	5,886	$96K
99392		2,835	2,826	$58K
92587		5,399	5,395	$56K
99214		955	886	$51K
99393		2,695	2,691	$46K
99394		1,955	1,951	$42K
G0447	Behavior counsel obesity 15m	3,522	3,517	$29K
99212		1,724	1,703	$26K
G0270	Mnt subs tx for change dx	3,517	3,512	$23K
99391		920	893	$18K
99211		1,988	1,953	$8K
G8510	Scr dep neg, no plan reqd	1,689	1,688	$6K
96110		1,097	1,082	$5K
92552		372	372	$4K
99383		88	87	$2K
0071A		38	38	$2K
G8420	Calc bmi norm parameters	5,662	5,357	$1K
G9622	No unheal etoh user	2,007	2,006	$1K
0072A		29	29	$1K
H0001	Alcohol and/or drug assess	2,211	2,209	$1K
99395		28	28	$1K
92567		112	112	$994.20
99382		26	26	$662.49
90461		1,944	1,937	$638.00
G9820	Doc chlam scr test w/follow	2,235	2,233	$593.75
90651		686	685	$504.65
87880		197	195	$408.09
36415		7,747	7,630	$296.60
90716		265	265	$289.30
99495		23	23	$200.00
99203		12	12	$199.48
86580		20	20	$178.20
90715		183	183	$157.65
99173		3,526	3,520	$154.97
90620		258	258	$152.00
G9275	Doc of non tobacco user	2,734	2,730	$135.00
87430		68	67	$98.04
99381		15	15	$85.78
90688		88	88	$85.40
90674		85	85	$54.54
90686		2,578	2,574	$40.55
90633		903	902	$35.28
90744		110	110	$25.34
3078F		1,368	1,364	$25.00
3074F		1,372	1,368	$25.00
87400		64	62	$18.65
83655		2,949	2,947	$14.20
99000		7,063	6,948	$5.09
91307		49	41	$0.03
90713		27	27	$0.00
G8417	Calc bmi abv up param f/u	5,339	5,120	$0.00
90671		277	275	$0.00
90710		152	152	$0.00
90670		699	699	$0.00
90648		321	321	$0.00
90734		201	201	$0.00
3725F		76	76	$0.00
3016F		125	125	$0.00
90707		93	93	$0.00
90700		41	41	$0.00
90685		62	62	$0.00
90681		51	51	$0.00
3008F		3,303	3,193	$0.00
90619		239	239	$0.00
1000F		180	179	$0.00
90698		242	242	$0.00
36406		28	28	$0.00
90723		69	69	$0.00
1036F		94	94	$0.00
90696		78	78	$0.00

Medicaid Provider Spending