SACO RIVER MEDICAL GROUP, PC
NPI: 1861587453
· CONWAY, NH 03818
· 207P00000X
$5.30M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,268 |
$511K |
| 2019 |
16,814 |
$586K |
| 2020 |
17,356 |
$593K |
| 2021 |
32,997 |
$753K |
| 2022 |
54,319 |
$782K |
| 2023 |
48,198 |
$833K |
| 2024 |
34,252 |
$1.25M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
51,644 |
40,388 |
$4.97M |
| 99214 |
|
18,881 |
15,039 |
$157K |
| 99213 |
|
24,636 |
20,227 |
$80K |
| 87428 |
|
651 |
607 |
$28K |
| 87880 |
|
1,466 |
1,355 |
$11K |
| 96127 |
|
5,818 |
4,330 |
$8K |
| 99188 |
|
869 |
781 |
$6K |
| 90460 |
|
5,340 |
4,617 |
$6K |
| 3074F |
|
17,230 |
14,289 |
$5K |
| 3078F |
|
15,036 |
12,512 |
$5K |
| 92551 |
|
1,987 |
1,805 |
$5K |
| 1160F |
|
20,417 |
16,144 |
$2K |
| 0071A |
|
56 |
47 |
$2K |
| 90686 |
|
3,099 |
2,779 |
$1K |
| 99203 |
|
253 |
224 |
$1K |
| 90480 |
|
101 |
96 |
$1K |
| 99393 |
|
1,187 |
1,087 |
$1K |
| 90471 |
|
523 |
487 |
$1K |
| 90461 |
|
1,048 |
948 |
$991.67 |
| G2025 |
Dis site tele svcs rhc/fqhc |
25 |
18 |
$953.04 |
| 3079F |
|
2,828 |
2,408 |
$899.98 |
| 87804 |
|
125 |
108 |
$885.10 |
| 87502 |
|
23 |
22 |
$807.20 |
| 0072A |
|
23 |
23 |
$800.00 |
| 99177 |
|
118 |
101 |
$601.78 |
| 3725F |
|
5,239 |
4,192 |
$490.39 |
| 0124A |
|
12 |
12 |
$480.00 |
| 1036F |
|
10,512 |
8,403 |
$379.58 |
| 3008F |
|
23,188 |
18,763 |
$350.08 |
| 99392 |
|
944 |
852 |
$329.85 |
| 96110 |
|
93 |
79 |
$280.20 |
| 99394 |
|
268 |
232 |
$192.09 |
| 3075F |
|
714 |
639 |
$150.41 |
| 98925 |
|
15 |
12 |
$132.03 |
| 99391 |
|
177 |
162 |
$124.14 |
| G2211 |
Complex e/m visit add on |
36 |
33 |
$118.42 |
| 36415 |
|
864 |
726 |
$86.34 |
| 81002 |
|
79 |
70 |
$84.51 |
| 99202 |
|
14 |
12 |
$65.66 |
| 99212 |
|
180 |
135 |
$57.60 |
| 96160 |
|
172 |
149 |
$36.40 |
| 99000 |
|
1,170 |
1,073 |
$35.96 |
| G0444 |
Depression screen annual |
91 |
77 |
$35.66 |
| 3077F |
|
512 |
426 |
$0.28 |
| 3080F |
|
321 |
287 |
$0.19 |
| 90656 |
|
238 |
231 |
$0.00 |
| 1125F |
|
83 |
55 |
$0.00 |
| 1126F |
|
288 |
192 |
$0.00 |
| 91307 |
|
155 |
123 |
$0.00 |
| 36416 |
|
75 |
65 |
$0.00 |
| 90723 |
|
28 |
25 |
$0.00 |
| 90648 |
|
105 |
89 |
$0.00 |
| 90670 |
|
101 |
94 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 90685 |
|
84 |
79 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |
| 91300 |
|
20 |
13 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |