NOBLE HEALTH AUDRAIN INC
NPI: 1891386504
· MEXICO, MO 65265
· 282N00000X
$1.53M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,595 |
$446K |
| 2019 |
5,103 |
$637K |
| 2020 |
3,075 |
$358K |
| 2021 |
2,015 |
$74K |
| 2022 |
195 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
|
3,930 |
3,423 |
$1.22M |
| X4003 |
|
1,160 |
647 |
$145K |
| X4006 |
|
92 |
65 |
$60K |
| 99284 |
|
328 |
280 |
$33K |
| 80053 |
|
3,118 |
2,620 |
$17K |
| 93005 |
|
443 |
387 |
$13K |
| 85025 |
|
4,176 |
3,294 |
$12K |
| G0463 |
Hospital outpt clinic visit |
475 |
457 |
$11K |
| J3490 |
Drugs unclassified injection |
741 |
485 |
$6K |
| 99283 |
|
119 |
93 |
$5K |
| 71045 |
|
245 |
220 |
$2K |
| 96374 |
|
13 |
13 |
$1K |
| 71046 |
|
94 |
89 |
$912.32 |
| 99282 |
|
40 |
28 |
$811.57 |
| 87804 |
|
62 |
39 |
$486.88 |
| 82728 |
|
109 |
100 |
$406.73 |
| 84484 |
|
78 |
68 |
$309.07 |
| 80061 |
|
25 |
25 |
$260.08 |
| 36415 |
|
268 |
210 |
$249.97 |
| 96372 |
|
65 |
31 |
$238.08 |
| 81001 |
|
160 |
136 |
$208.08 |
| 83880 |
|
15 |
12 |
$134.08 |
| 84443 |
|
14 |
14 |
$110.07 |
| 85027 |
|
25 |
25 |
$95.80 |
| 83735 |
|
14 |
13 |
$39.66 |
| 81003 |
|
65 |
49 |
$29.26 |
| 85610 |
|
16 |
13 |
$19.40 |
| 83605 |
|
19 |
15 |
$18.98 |
| A9270 |
Non-covered item or service |
62 |
41 |
$0.00 |
| J7030 |
Normal saline solution infus |
12 |
12 |
$0.00 |