Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PICAYUNE FAMILY HEALTH CENTER

NPI: 1003013764 · PICAYUNE, MS 39466 · Federally Qualified Health Center (FQHC) · NPI assigned 06/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROBINSON, JANICE controls 20+ related entities in our dataset. Read more

$612K
Total Medicaid Paid
19,692
Total Claims
17,503
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBINSON, JANICE (C.E.O.)
Parent OrganizationSOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
NPI Enumeration Date06/27/2007

Related Entities

Other providers sharing the same authorized official: ROBINSON, JANICE

ProviderCityStateTotal Paid
MINOR CARE CLINIC HATTIESBURG MS $2.54M
HATTIESBURG FAMILY HEALTH CENTER HATTIESBURG MS $1.31M
SUMRALL FAMILY HEALTH CENTER SUMRALL MS $1.07M
BROOKLYN FAMILY HEALTH CENTER BROOKLYN MS $897K
N R BURGER SCHOOL AND COMMUNITY CLINIC HATTIESBURG MS $896K
LUMBERTON FAMILY HEALTH CENTER LUMBERTON MS $895K
HATTIESBURG COMMUNITY DENTAL CENTER HATTIESBURG MS $857K
WOMEN'S HEALTH CENTER HATTIESBURG MS $834K
HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC HATTIESBURG MS $832K
NEW AUGUSTA FAMILY HEALTH CENTER NEW AUGUSTA MS $762K
HATTIESBURG PUBLIC SCHOOL AND COMMUNITY CLINIC HATTIESBURG MS $762K
PETAL SCHOOL CLINIC PETAL MS $715K
SEMINARY FAMILY HEALTH CENTER SEMINARY MS $669K
HATTIESBURG HIGH SCHOOL CAMPUS CLINIC HATTIESBURG MS $626K
BEAUMONT FAMILY HEALTH CENTER BEAUMONT MS $575K
SEMRHI SUPPORT SERVICE CENTER HATTIESBURG MS $393K
ROWAN ELEMENTARY SCHOOL HATTIESBURG MS $59K
PETAL PRIMARY SCHOOL PETAL MS $42K
PETAL ELEMENTARY SCHOOL PETAL MS $37K
PETAL MIDDLE SCHOOL PETAL MS $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,374 $65K
2019 1,869 $122K
2020 1,104 $77K
2021 2,606 $108K
2022 4,518 $99K
2023 4,788 $86K
2024 3,433 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,304 3,745 $468K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 740 672 $78K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,814 1,514 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 141 127 $18K
99215 Prolong outpt/office vis 78 77 $12K
99382 56 54 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 49 45 $7K
36415 Collection of venous blood by venipuncture 956 879 $594.33
83655 116 112 $372.79
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16 14 $332.32
1159F 1,950 1,751 $0.00
3078F 1,276 1,139 $0.00
1160F 1,949 1,750 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 15 $0.00
80061 Lipid panel 84 80 $0.00
81002 12 12 $0.00
99173 125 118 $0.00
3077F 36 32 $0.00
85018 254 244 $0.00
3079F 553 502 $0.00
3074F 1,645 1,472 $0.00
90686 14 14 $0.00
36416 489 464 $0.00
3008F 2,555 2,234 $0.00
3075F 135 129 $0.00
3048F 14 12 $0.00
1220F 53 49 $0.00
3080F 56 51 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $0.00
92551 87 84 $0.00
83036 Hemoglobin; glycosylated (A1C) 89 86 $0.00