E DAWN MARTIN CACIII LLC
NPI: 1912341504
· COLORADO SPRINGS, CO 80910
· 261QP2300X
$500K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,447 |
$116K |
| 2019 |
687 |
$53K |
| 2020 |
310 |
$18K |
| 2021 |
1,705 |
$85K |
| 2022 |
1,555 |
$176K |
| 2023 |
1,123 |
$48K |
| 2024 |
98 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,039 |
1,741 |
$194K |
| J2315 |
Naltrexone, depot form |
133 |
121 |
$167K |
| 99204 |
|
437 |
431 |
$62K |
| 90833 |
|
417 |
359 |
$25K |
| 96127 |
|
2,368 |
2,007 |
$22K |
| 99213 |
|
134 |
117 |
$9K |
| 80305 |
|
584 |
483 |
$7K |
| 96372 |
|
410 |
344 |
$6K |
| H0004 |
Alcohol and/or drug services |
38 |
16 |
$3K |
| 99050 |
|
318 |
286 |
$2K |
| H0005 |
Alcohol and/or drug services |
34 |
13 |
$2K |
| 81025 |
|
13 |
13 |
$111.93 |