DEL PRADO MEDICAL CENTER INC

$507K

Total Medicaid Paid

89,109

Total Claims

64,442

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		17,299	14,209	$324K
99385		662	615	$46K
99386		438	413	$38K
99214		992	862	$28K
99396		341	317	$28K
99204		136	125	$12K
G0101	Ca screen;pelvic/breast exam	503	478	$12K
99397		223	214	$6K
93000		819	735	$4K
99454		264	207	$2K
82962		1,871	1,550	$2K
36415		510	472	$1K
G0439	Ppps, subseq visit	317	289	$864.97
99457		485	370	$802.60
76700		16	12	$666.87
3008F		10,193	7,790	$592.58
99442		46	40	$577.22
96372		46	16	$411.64
97110		2,500	510	$85.67
99458		435	334	$52.27
82947		689	504	$49.90
Q0091	Obtaining screen pap smear	382	347	$41.35
1158F		2,970	2,534	$25.51
3079F		3,986	3,177	$14.17
97112		2,467	508	$12.57
97124		2,503	510	$12.07
97035		2,490	509	$10.70
3074F		5,520	4,363	$7.05
96127		40	37	$1.04
J1885	Ketorolac tromethamine inj	14	12	$0.32
1160F		9,435	7,520	$0.00
3078F		5,030	3,940	$0.00
1159F		8,215	6,437	$0.00
G0444	Depression screen annual	151	128	$0.00
G0403	Ekg for initial prevent exam	174	174	$0.00
97530		2,500	509	$0.00
99497		283	266	$0.00
99483	Prolong outpt/office vis	112	111	$0.00
1090F		13	12	$0.00
1170F		203	155	$0.00
3075F		3,413	2,799	$0.00
1111F		292	224	$0.00
99406		69	58	$0.00
G0447	Behavior counsel obesity 15m	25	24	$0.00
99496		19	13	$0.00
1125F		18	13	$0.00

Medicaid Provider Spending