Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SC TELEHEALTH CLINIC LLC

NPI: 1962032003 · PUEBLO, CO 81001 · Health Service Clinic/Center · NPI assigned 01/16/2020

$360K
Total Medicaid Paid
10,216
Total Claims
6,492
Beneficiaries
29
Codes Billed
2020-03
First Month
2020-04
Last Month

Provider Details

Authorized OfficialFASANO, RENEE (OWNER MANAGER)
NPI Enumeration Date01/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 10,216 $360K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,093 608 $85K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 894 558 $55K
99354 937 524 $49K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,080 630 $42K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,155 643 $41K
99402 1,009 581 $34K
90834 Psychotherapy, 45 minutes with patient 427 323 $16K
99407 608 399 $9K
99403 98 89 $5K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 269 192 $4K
96127 404 243 $4K
99345 Prolong home eval add 15m 33 32 $3K
99408 353 196 $2K
94664 260 179 $2K
90832 Psychotherapy, 30 minutes with patient 89 81 $2K
96113 57 56 $1K
99355 47 47 $1K
H0049 Alcohol and/or drug screening 218 151 $1K
99000 432 311 $802.15
36416 411 322 $794.31
96137 48 48 $779.28
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 17 17 $0.00
99401 48 47 $0.00
82947 74 68 $0.00
G2063 Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes 41 38 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 12 12 $0.00
98970 40 37 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 14 13 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48 47 $0.00