SC TELEHEALTH CLINIC LLC
NPI: 1962032003
· PUEBLO, CO 81001
· 261QH0100X
$360K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
10,216 |
$360K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,093 |
608 |
$85K |
| G0108 |
Diab manage trn per indiv |
894 |
558 |
$55K |
| 99354 |
|
937 |
524 |
$49K |
| 97112 |
|
1,080 |
630 |
$42K |
| 97110 |
|
1,155 |
643 |
$41K |
| 99402 |
|
1,009 |
581 |
$34K |
| 90834 |
|
427 |
323 |
$16K |
| 99407 |
|
608 |
399 |
$9K |
| 99403 |
|
98 |
89 |
$5K |
| G8431 |
Pos clin depres scrn f/u doc |
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 |
|
89 |
81 |
$2K |
| 96113 |
|
57 |
56 |
$1K |
| 99355 |
|
47 |
47 |
$1K |
| H0049 |
Alcohol/drug screening |
218 |
151 |
$1K |
| 99000 |
|
432 |
311 |
$802.15 |
| 36416 |
|
411 |
322 |
$794.31 |
| 96137 |
|
48 |
48 |
$779.28 |
| G0459 |
Telehealth inpt pharm mgmt |
17 |
17 |
$0.00 |
| 99401 |
|
48 |
47 |
$0.00 |
| 82947 |
|
74 |
68 |
$0.00 |
| G2063 |
Qual nonmd est pt 21>min |
41 |
38 |
$0.00 |
| 90833 |
|
12 |
12 |
$0.00 |
| 98970 |
|
40 |
37 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
14 |
13 |
$0.00 |
| 99214 |
|
48 |
47 |
$0.00 |