IRONBOUND MEDICAL ASSOCIATES LLC

$499K

Total Medicaid Paid

48,678

Total Claims

44,178

Beneficiaries

38

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		4,788	4,297	$297K
99396		1,213	1,164	$114K
99213		552	516	$24K
90471		1,284	1,243	$18K
99395		116	115	$11K
99496		76	76	$10K
90688		557	556	$9K
G0447	Behavior counsel obesity 15m	1,450	1,315	$9K
90682		78	78	$4K
90686		218	215	$3K
90656		29	29	$592.76
G0446	Intens behave ther cardio dx	1,354	1,275	$284.77
G0444	Depression screen annual	836	832	$258.91
90662		12	12	$250.00
99406		25	25	$93.50
G8427	Docrev cur meds by elig clin	5,815	5,189	$1.00
G8510	Scr dep neg, no plan reqd	6,909	6,220	$0.00
3017F		3,703	3,287	$0.00
G9903	Pt scrn tbco id as non user	5,260	4,763	$0.00
1036F		5,247	4,752	$0.00
G8754	Dias bp less 90	1,031	963	$0.00
3044F		71	65	$0.00
1101F		44	39	$0.00
G9906	Pt recv tbco cess interv	12	12	$0.00
G8755	Dias bp > or = 90	41	40	$0.00
G9902	Pt scrn tbco and id as user	13	13	$0.00
G9899	Scrn mam perf rslts doc	925	816	$0.00
G9900	Scrn mam perf rslts not doc	632	576	$0.00
G8752	Sys bp less 140	827	780	$0.00
G9905	No pt tbco scrn rng	1,766	1,541	$0.00
G8483	Flu imm no admin doc rea	83	82	$0.00
G8482	Flu immunize order/admin	1,282	1,147	$0.00
G0029	No tob scr/cess int	1,761	1,541	$0.00
G8484	Flu immunize no admin	541	489	$0.00
G8753	Sys bp > or = 140	50	48	$0.00
4040F		32	28	$0.00
4004F		13	13	$0.00
G9991	Pneum vax admin 19+	32	26	$0.00

Medicaid Provider Spending