SOUTHWEST CARE CENTER

$6.60M

Total Medicaid Paid

59,122

Total Claims

52,620

Beneficiaries

62

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		21,214	18,771	$2.80M
99214		14,788	13,449	$2.02M
99393		942	939	$170K
99203		1,033	1,019	$160K
G0467	Fqhc visit, estab pt	6,521	5,612	$159K
90837		1,115	648	$148K
99392		748	748	$133K
90834		814	457	$121K
G0108	Diab manage trn per indiv	981	741	$112K
99212		756	720	$111K
99394		516	511	$90K
90471		857	773	$74K
99215	Prolong outpt/office vis	466	432	$71K
99211		247	241	$39K
92551		378	378	$39K
99391		196	180	$35K
0012A		195	194	$34K
99396		200	198	$31K
0011A		184	177	$30K
0064A		150	149	$24K
0134A		103	103	$16K
99202		93	92	$15K
90792		82	82	$13K
99204		74	74	$12K
0031A		68	68	$12K
99395		68	68	$11K
96372		116	99	$11K
90791		61	60	$11K
90460		536	457	$10K
G0466	Fqhc visit new patient	265	255	$10K
0072A		53	53	$9K
90480		175	172	$9K
99442		53	52	$9K
99443		44	43	$8K
3008F		548	535	$7K
G0447	Behavior counsel obesity 15m	549	548	$6K
Q0091	Obtaining screen pap smear	66	64	$5K
0071A		31	31	$5K
96127		1,022	870	$4K
S9999	Sales tax	437	356	$3K
80305		169	159	$3K
G0470	Fqhc visit, mh estab pt	49	25	$2K
91322		12	12	$2K
3079F		16	16	$2K
90461		37	36	$2K
90686		287	226	$2K
1036F		259	249	$1K
1160F		449	432	$1K
83036		88	80	$778.84
3074F		233	231	$619.93
1126F		91	91	$538.86
87804		62	55	$409.78
90715		17	16	$226.84
87880		45	43	$140.56
99173		123	112	$135.65
G2025	Dis site tele svcs rhc/fqhc	35	34	$118.03
36415		41	38	$87.42
81025		14	14	$49.32
81002		18	14	$3.67
90734		37	25	$0.02
3078F		189	188	$0.00
3725F		106	105	$0.00

Medicaid Provider Spending