JOHN R CLOUGH

$576K

Total Medicaid Paid

56,257

Total Claims

39,984

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		7,696	5,445	$273K
99213		6,159	4,737	$200K
87811		1,146	851	$36K
87804		1,452	831	$18K
96372		1,384	772	$14K
85025		2,451	1,776	$14K
3008F		6,588	4,855	$5K
99490	Ccm add 20min	750	584	$4K
3078F		3,000	2,300	$3K
3074F		3,540	2,665	$3K
3079F		1,298	976	$1K
87880		87	77	$955.81
3075F		739	569	$601.11
81002		350	271	$600.71
96127		213	142	$585.36
87426		22	12	$557.68
99173		93	83	$534.02
96160		47	38	$469.44
71046		42	24	$430.90
90688		34	29	$342.83
90471		12	12	$91.39
J1100	Dexamethasone sodium phos	60	39	$50.15
99080		1,717	958	$50.00
36415		18	15	$23.25
3044F		13	12	$20.00
3077F		15	12	$10.00
G8477	Bp sys>=140 and/or dias >=90	29	25	$0.00
G8752	Sys bp less 140	1,434	879	$0.00
G8476	Bp sys <140 and dias <90	1,524	939	$0.00
G8753	Sys bp > or = 140	29	26	$0.00
G8417	Calc bmi abv up param f/u	14	12	$0.00
99499		203	129	$0.00
G9666	Fas/dir ldl 70-189mg/dl mst	41	31	$0.00
3725F		139	101	$0.00
3016F		12	12	$0.00
1036F		3,914	2,910	$0.00
G8754	Dias bp less 90	1,558	988	$0.00
G9273	Sys<140 and dia<90	949	626	$0.00
1000F		4,993	3,515	$0.00
3011F		48	32	$0.00
1034F		1,131	733	$0.00
4010F		323	220	$0.00
G9664	Taking statin or rec'd order	104	83	$0.00
G8419	Calc bmi out nrm param nof/u	453	329	$0.00
G9459	Tob non-user	240	168	$0.00
4008F		46	32	$0.00
G9274	Bp out of nrml limits	29	25	$0.00
3352F		118	84	$0.00

Medicaid Provider Spending