Medicaid Provider Spending

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

SOUTHSIDE MEDICAL CENTER PA

NPI: 1003099409 · WILMINGTON, NC 28403 · Family Medicine Physician · NPI assigned 12/10/2007

$803K
Total Medicaid Paid
87,898
Total Claims
54,387
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, JAMES (MEDICAL DIRECTOR)
NPI Enumeration Date12/10/2007

Related Entities

Other providers sharing the same authorized official: PRIDGEN, JAMES

ProviderCityStateTotal Paid
NORTH WHITEVILLE URGENT CARE & FAMILY PRACTICE PA WHITEVILLE NC $2.01M
HOLLY RIDGE HEALTHCARE PA HOLLY RIDGE NC $300K
WHITEVILLE FAMILY PRACTICE, PA WHITEVILLE NC $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,992 $83K
2019 3,506 $88K
2020 2,730 $77K
2021 7,671 $109K
2022 16,631 $118K
2023 20,930 $126K
2024 31,438 $203K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 56,985 29,693 $306K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,635 6,193 $261K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,695 3,925 $190K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,334 1,599 $23K
99215 Prolong outpt/office vis 149 127 $7K
99443 171 123 $4K
80305 484 431 $3K
82962 3,040 2,395 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
93000 131 122 $1K
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) 536 448 $926.59
36415 Collection of venous blood by venipuncture 657 583 $907.20
81003 289 248 $410.58
J1885 Injection, ketorolac tromethamine, per 15 mg 507 418 $259.67
99490 Ccm add 20min 20 15 $205.51
99441 27 14 $187.68
99051 12 12 $166.80
83036 Hemoglobin; glycosylated (A1C) 47 42 $145.58
99406 47 35 $127.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 168 146 $57.29
82570 13 13 $44.66
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 22 21 $31.57
82044 13 13 $24.71
83037 14 14 $7.19
G0444 Annual depression screening, 5 to 15 minutes 81 69 $0.00
1159F 1,108 861 $0.00
3078F 1,187 949 $0.00
1160F 1,107 861 $0.00
99072 155 115 $0.00
3077F 19 16 $0.00
99497 16 13 $0.00
1036F 2,351 1,729 $0.00
1034F 893 680 $0.00
3075F 451 391 $0.00
3079F 788 654 $0.00
3044F 120 104 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 131 117 $0.00
3074F 1,247 995 $0.00
1125F 183 146 $0.00
1126F 38 31 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 14 14 $0.00