DERRY MEDICAL CENTER, PA
NPI: 1922030493
· DERRY, NH 03038
· 207Q00000X
$2.37M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,765 |
$169K |
| 2019 |
4,923 |
$412K |
| 2020 |
5,305 |
$382K |
| 2021 |
7,792 |
$457K |
| 2022 |
5,019 |
$426K |
| 2023 |
4,041 |
$313K |
| 2024 |
2,721 |
$211K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
25,146 |
19,058 |
$2.05M |
| 99213 |
|
3,843 |
3,181 |
$260K |
| 87426 |
|
609 |
551 |
$36K |
| 99211 |
|
509 |
455 |
$14K |
| 99215 |
Prolong outpt/office vis |
43 |
37 |
$4K |
| 99309 |
|
317 |
144 |
$3K |
| 99308 |
|
170 |
72 |
$2K |
| 87880 |
|
58 |
56 |
$1K |
| 90688 |
|
29 |
24 |
$810.70 |
| 0004A |
|
17 |
16 |
$715.00 |
| 0072A |
|
12 |
12 |
$600.00 |
| 0064A |
|
17 |
12 |
$390.00 |
| 93000 |
|
14 |
13 |
$382.30 |
| 99306 |
Prolong nursin fac eval 15m |
25 |
13 |
$142.68 |
| 91306 |
|
17 |
12 |
$0.01 |
| 91300 |
|
61 |
59 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
19 |
14 |
$0.00 |
| 1111F |
|
2,625 |
2,102 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 1101F |
|
20 |
15 |
$0.00 |