PARKVIEW WABASH HOSPITAL, INC.

$3.44M

Total Medicaid Paid

109,089

Total Claims

90,819

Beneficiaries

39

Codes Billed

2019-08

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		25,657	21,797	$1.49M
99214		10,863	9,014	$776K
T1015	Clinic visit/encounter, all-inclusive	46,304	38,638	$477K
99203		1,862	1,615	$139K
99391		1,696	1,273	$133K
99392		1,619	1,331	$133K
87428		2,041	1,798	$65K
87426		1,534	1,249	$45K
90472		2,140	1,477	$38K
87880		2,836	2,508	$37K
90471		2,800	2,205	$28K
99393		310	277	$24K
99384		295	246	$21K
90474		625	466	$6K
99394		70	58	$5K
83655		415	358	$5K
96161		1,297	954	$3K
99212		65	58	$2K
96110		278	240	$2K
96127		589	477	$2K
87807		99	80	$1K
85018		404	351	$898.90
99177		239	152	$661.07
99202		15	12	$626.41
87400		54	24	$502.50
81003		206	179	$377.05
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	1,034	867	$36.22
90686		437	348	$2.40
90648		852	705	$0.00
90633		383	311	$0.00
90671		114	100	$0.00
90670		455	355	$0.00
90710		16	12	$0.00
90723		611	501	$0.00
90680		455	374	$0.00
90677		278	272	$0.00
90656		111	111	$0.00
90651		12	12	$0.00
90696		18	14	$0.00

Medicaid Provider Spending