DAVID AND JOHN DELLIQOADRI, D.O. INC

$728K

Total Medicaid Paid

66,348

Total Claims

59,970

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,402	8,399	$484K
99213		5,097	4,587	$175K
99308		3,981	3,325	$35K
99307		4,784	4,355	$21K
99306	Prolong nursin fac eval 15m	205	177	$3K
99309		288	219	$3K
99396		31	28	$2K
99406		135	123	$1K
99204		12	12	$932.41
90471		61	59	$783.24
99252		33	27	$578.45
90682		13	12	$442.11
90688		40	38	$376.80
87426		13	12	$228.96
3078F		2,200	2,026	$0.01
3351F		3,596	3,275	$0.00
3075F		1,010	948	$0.00
3008F		3,951	3,580	$0.00
1125F		976	915	$0.00
1000F		3,803	3,437	$0.00
1126F		416	393	$0.00
3074F		2,030	1,866	$0.00
1034F		845	769	$0.00
3079F		748	704	$0.00
1036F		2,330	2,130	$0.00
4000F		428	391	$0.00
3011F		39	37	$0.00
1035F		95	91	$0.00
0545F		518	484	$0.00
1101F		166	161	$0.00
G9903	Pt scrn tbco id as non user	77	65	$0.00
G8510	Scr dep neg, no plan reqd	61	52	$0.00
1502F		2,071	1,916	$0.00
3016F		3,753	3,398	$0.00
3725F		4,078	3,693	$0.00
1160F		3,278	2,979	$0.00
G8427	Docrev cur meds by elig clin	150	134	$0.00
1159F		3,982	3,600	$0.00
G8417	Calc bmi abv up param f/u	108	95	$0.00
0521F		1,133	1,066	$0.00
G8783	Bp scrn perf rec interval	14	14	$0.00
3077F		14	12	$0.00
3288F		181	174	$0.00
4158F		190	180	$0.00
0556F		12	12	$0.00

Medicaid Provider Spending