HOPEWELL HEALTH CENTERS INC

$4.00M

Total Medicaid Paid

199,643

Total Claims

132,165

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	25,147	20,561	$1.52M
J2315	Naltrexone, depot form	1,127	1,007	$1.19M
99213		24,555	16,782	$535K
99214		14,487	10,258	$463K
90837		1,515	992	$93K
99212		4,675	2,516	$57K
90834		832	595	$32K
G0467	Fqhc visit, estab pt	3,673	2,968	$26K
90832		1,374	883	$23K
96372		1,329	1,154	$15K
90853		561	89	$9K
80305		1,484	1,150	$7K
G2025	Dis site tele svcs rhc/fqhc	285	242	$4K
99203		263	227	$4K
90677		19	15	$3K
90674		582	396	$3K
99215	Prolong outpt/office vis	26	26	$2K
90471		240	158	$2K
81025		680	555	$1K
90661		49	44	$1K
90791		44	27	$1K
82948		937	720	$852.97
99393		14	14	$788.06
D0150		27	27	$719.42
D0330		14	14	$680.96
36416		476	365	$367.32
87430		121	116	$306.88
96110		33	33	$253.44
90756		22	15	$84.06
83036		19	12	$50.96
90715		44	34	$30.90
J1050	Medroxyprogesterone acetate	45	37	$6.30
3078F		21,351	13,041	$1.66
3074F		21,009	12,809	$1.31
3079F		2,987	1,910	$0.30
3077F		1,017	664	$0.22
3075F		771	522	$0.07
3008F		31,091	19,082	$0.01
3725F		5,220	3,428	$0.00
4004F		15,126	8,901	$0.00
81002		69	63	$0.00
99173		14	12	$0.00
Q2038	Fluzone vacc, 3 yrs & >, im	16	12	$0.00
3045F		12	12	$0.00
1036F		16,089	9,514	$0.00
3080F		45	43	$0.00
3044F		29	29	$0.00
G0008	Admin influenza virus vac	16	12	$0.00
90656		68	67	$0.00
G8420	Calc bmi norm parameters	14	12	$0.00

Medicaid Provider Spending