PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC

$1.62M

Total Medicaid Paid

33,633

Total Claims

18,359

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-02

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	10,157	4,854	$1.14M
H2020	Therapeutic behavioral services, per diem	3,371	1,468	$362K
D0999		1,372	1,004	$117K
D0150		204	105	$886.54
D0210		30	13	$59.27
3078F		200	119	$5.00
99213		1,432	1,078	$0.00
3074F		218	133	$0.00
D1208		526	512	$0.00
1036F		1,108	581	$0.00
2001F		700	493	$0.00
D0120		722	664	$0.00
1111F		133	91	$0.00
92551		83	72	$0.00
3079F		17	17	$0.00
87426		347	213	$0.00
1125F		40	33	$0.00
90686		147	128	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	159	112	$0.00
3008F		662	464	$0.00
36415		207	165	$0.00
1126F		122	95	$0.00
99214		894	716	$0.00
85018		93	59	$0.00
96127		53	27	$0.00
90471		258	181	$0.00
1034F		19	15	$0.00
1035F		19	15	$0.00
99174		51	50	$0.00
87428		14	14	$0.00
D0272		43	27	$0.00
D0602		25	24	$0.00
36416		14	13	$0.00
99173		103	87	$0.00
99177		96	81	$0.00
D0274		12	12	$0.00
90832		499	337	$0.00
99211		4,317	1,403	$0.00
D1110		429	386	$0.00
90853		2,929	1,380	$0.00
D1120		15	15	$0.00
96160		237	169	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	201	145	$0.00
81003		156	110	$0.00
90791		193	142	$0.00
99212		185	152	$0.00
99394		66	53	$0.00
87804		357	86	$0.00
87880		100	49	$0.00
1159F		151	110	$0.00
D1203		37	20	$0.00
82947		110	67	$0.00

Medicaid Provider Spending