Medicaid Provider Spending

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

UPPER CUMBERLAND MEDICAL CLINIC, INC.

NPI: 1003302423 · BAXTER, TN 38544 · Clinic/Center · NPI assigned 07/09/2018

$133K
Total Medicaid Paid
4,582
Total Claims
3,623
Beneficiaries
13
Codes Billed
2019-07
First Month
2023-02
Last Month

Provider Details

Authorized OfficialSWALLOWS, JACQUELINE (NURSE PRACTITIONER)
NPI Enumeration Date07/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 378 $9K
2020 768 $23K
2021 2,110 $59K
2022 1,114 $36K
2023 212 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,180 1,690 $78K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,797 1,496 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 354 237 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 13 $552.66
90756 47 39 $531.97
99443 16 15 $173.04
J1030 Injection, methylprednisolone acetate, 40 mg 35 28 $136.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 13 $123.87
G0008 Administration of influenza virus vaccine 29 26 $75.57
3079F 18 12 $60.00
J1885 Injection, ketorolac tromethamine, per 15 mg 36 26 $46.38
3074F 16 12 $10.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 21 16 $6.06