PMDCA, LLC

$6.99M

Total Medicaid Paid

166,850

Total Claims

74,987

Beneficiaries

55

Codes Billed

2020-03

First Month

2024-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
U0003	Cov-19 amp prb hgh thruput	72,587	23,320	$5.06M
87635		27,144	9,586	$1.34M
U0005	Infec agen detec ampli probe	18,999	6,767	$258K
G2024	Spec coll snf/lab covid-19	5,404	1,923	$114K
85025		10,650	7,503	$43K
80053		6,231	5,008	$36K
99001		572	442	$35K
U0004	Cov-19 test non-cdc hgh thru	377	220	$22K
84443		1,815	1,717	$15K
80048		3,087	2,312	$12K
80061		1,693	1,640	$11K
82306		690	662	$10K
83036		1,901	1,803	$10K
80164		703	594	$5K
87086		560	528	$2K
81001		1,201	1,110	$2K
G0471	Ven blood coll snf/hha	3,086	2,181	$2K
87636		15	15	$1K
83735		363	269	$1K
P9604	One-way allow prorated trip	4,118	2,761	$1K
84134		124	116	$909.59
82607		183	174	$784.34
86141		99	75	$645.35
82040		456	399	$613.73
36415		1,310	844	$592.88
84439		192	188	$555.41
82746		103	100	$554.84
82247		415	361	$524.21
84450		416	361	$517.21
84460		415	361	$511.41
84075		415	361	$508.80
80202		66	33	$493.36
80177		40	38	$371.70
84155		416	362	$362.40
83550		108	107	$309.52
83540		126	125	$301.79
85610		161	75	$276.07
87186		46	45	$209.65
84100		96	71	$163.75
84436		70	70	$149.12
85027		44	39	$146.81
82248		73	68	$140.22
80185		18	12	$122.55
86803		16	15	$120.81
82140		15	14	$113.44
87088		43	42	$104.37
87481		13	12	$99.97
82274		16	12	$85.88
82728		39	39	$82.60
86705		14	13	$81.73
80076		17	17	$81.64
87324		14	13	$51.74
85652		44	38	$50.46
87449		14	13	$49.40
85651		17	13	$22.02

Medicaid Provider Spending