SULLIVAN COUNTY INTERNAL MEDICINE LLC
NPI: 1871058529
· SHELBURN, IN
$438K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,537 |
$40K |
| 2020 |
1,928 |
$72K |
| 2021 |
1,975 |
$99K |
| 2022 |
1,985 |
$91K |
| 2023 |
1,603 |
$74K |
| 2024 |
1,141 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,324 |
4,650 |
$284K |
| 99213 |
|
2,763 |
2,289 |
$143K |
| 83037 |
|
862 |
812 |
$4K |
| 87811 |
|
87 |
79 |
$2K |
| 99308 |
|
306 |
280 |
$2K |
| 87804 |
|
178 |
79 |
$2K |
| 36415 |
|
407 |
363 |
$844.88 |
| 99306 |
Prolong nursin fac eval 15m |
19 |
18 |
$584.69 |
| 96372 |
|
81 |
77 |
$468.93 |
| 90756 |
|
25 |
24 |
$339.95 |
| 90471 |
|
12 |
12 |
$162.18 |
| 90688 |
|
15 |
13 |
$38.34 |
| G0008 |
Administration of influenza virus vaccine |
55 |
52 |
$0.00 |
| 90694 |
|
15 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
20 |
18 |
$0.00 |