BONNE TERRE HEALTHCARE CLINIC LLC
NPI: 1962043802
· BONNE TERRE, MO 63628
· 101YM0800X
$798K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,893 |
$63K |
| 2021 |
3,598 |
$142K |
| 2022 |
3,092 |
$172K |
| 2023 |
3,807 |
$207K |
| 2024 |
2,704 |
$214K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,313 |
4,547 |
$333K |
| 90837 |
|
2,939 |
1,307 |
$200K |
| 99215 |
Prolong outpt/office vis |
1,328 |
1,113 |
$91K |
| 99335 |
|
2,321 |
1,840 |
$71K |
| 99213 |
|
1,379 |
1,234 |
$62K |
| 99490 |
Ccm add 20min |
1,179 |
1,158 |
$12K |
| 99336 |
|
839 |
365 |
$10K |
| 99205 |
Prolong outpt/office vis |
239 |
97 |
$6K |
| 99483 |
Prolong outpt/office vis |
98 |
97 |
$5K |
| 90834 |
|
179 |
103 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
27 |
27 |
$2K |
| 99204 |
|
13 |
13 |
$2K |
| 99327 |
|
14 |
14 |
$1K |
| 99396 |
|
20 |
16 |
$205.44 |
| 90471 |
|
14 |
13 |
$158.52 |
| 90853 |
|
38 |
17 |
$131.02 |
| 96127 |
|
16 |
16 |
$37.98 |
| 90785 |
|
122 |
114 |
$0.90 |
| G0439 |
Ppps, subseq visit |
16 |
16 |
$0.00 |