Medicaid Provider Spending

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

EAST MAIN FAMILY MEDICAL CLINIC LLC

NPI: 1003300815 · TUPELO, MS 38804 · Nurse Practitioner · NPI assigned 06/15/2018

$41K
Total Medicaid Paid
1,456
Total Claims
1,105
Beneficiaries
7
Codes Billed
2019-04
First Month
2021-09
Last Month

Provider Details

Authorized OfficialRODGERS, RODNEY (OWNER/NURSE PRACTITIONER)
NPI Enumeration Date06/15/2018

Related Entities

Other providers sharing the same authorized official: RODGERS, RODNEY

ProviderCityStateTotal Paid
EAST MAIN FAMILY MEDICAL CLINIC LLC TUPELO MS $796K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 63 $239.96
2020 480 $12K
2021 913 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 820 580 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 278 222 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 158 131 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 157 133 $606.63
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 12 $498.96
36415 Collection of venous blood by venipuncture 12 12 $23.46
S9088 Services provided in an urgent care center (list in addition to code for service) 15 15 $0.00