ALTEA MEDICAL INDIANA PC
NPI: 1992584783
· GARY, IN 46404
· Internal Medicine Physician
· NPI assigned 09/21/2023
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | KRUEGER, LISA (VP OF REVENUE CYCLE) |
| NPI Enumeration Date | 09/21/2023 |
Related Entities
Other providers sharing the same authorized official: KRUEGER, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
13,299 |
$117K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,864 |
4,004 |
$82K |
| 99310 |
Prolong nursin fac eval 15m |
2,627 |
1,019 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
976 |
629 |
$9K |
| 99305 |
|
170 |
102 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
106 |
72 |
$617.00 |
| 99307 |
|
98 |
60 |
$306.81 |
| 99491 |
Ccm add 20min |
224 |
178 |
$136.70 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
42 |
34 |
$62.78 |
| 99497 |
|
63 |
41 |
$24.20 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
129 |
84 |
$0.00 |