SHI, SHELLY

$1.51M

Total Medicaid Paid

73,964

Total Claims

69,010

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		13,298	11,793	$927K
99395		1,324	1,324	$159K
99396		922	922	$119K
99212		1,242	1,185	$59K
90471		2,521	2,428	$42K
92551		3,567	3,565	$37K
99203		286	286	$31K
G0442	Annual alcohol screen 15 min	2,769	2,768	$29K
G0444	Depression screen annual	2,879	2,878	$26K
90674		762	762	$22K
90746		126	126	$8K
90686		300	300	$6K
36415		4,667	4,611	$6K
90756		220	220	$5K
G8510	Scr dep neg, no plan reqd	2,287	2,286	$5K
90688		189	189	$3K
99385		25	25	$3K
H0001	Alcohol and/or drug assess	2,217	2,214	$3K
G0179	Md recertification hha pt	117	117	$3K
99214		53	51	$3K
3074F		2,332	2,096	$3K
3078F		2,323	2,077	$3K
G8427	Docrev cur meds by elig clin	6,651	5,744	$1K
93000		138	138	$1K
90632		16	16	$1K
90472		70	70	$973.69
90661		37	37	$954.59
99442		27	25	$871.60
1160F		3,372	2,936	$821.23
3079F		735	678	$789.50
3075F		652	585	$588.00
90656		25	25	$547.28
90658		15	15	$202.98
1159F		3,365	2,929	$145.00
3008F		3,259	2,904	$0.34
G9622	No unheal etoh user	2,132	2,129	$0.08
G8420	Calc bmi norm parameters	2,767	2,479	$0.00
1036F		1,035	1,034	$0.00
1000F		1,100	1,099	$0.00
G8418	Calc bmi blw low param f/u	1,378	1,241	$0.00
A4556	Electrodes, pair	60	60	$0.00
99429		14	12	$0.00
3725F		1,091	1,090	$0.00
G8417	Calc bmi abv up param f/u	493	437	$0.00
3016F		1,106	1,104	$0.00

Medicaid Provider Spending