NORTH END MEDICAL GROUP LLC

$27K

Total Medicaid Paid

1,110

Total Claims

986

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-06

Last Month

Authorized Official	LEVIN, WAYNE (MANAGER)
NPI Enumeration Date	08/26/2013

Year	Claims	Total Paid
2018	1,110	$27K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	755	657	$20K
99308	Subsequent nursing facility care, per day, straightforward	212	189	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	27	24	$632.67
G8754	Most recent diastolic blood pressure < 90 mmhg	62	62	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	54	54	$0.00

Medicaid Provider Spending