Medicaid Provider Spending

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

WINSTON MEDICAL CLINIC LLC

NPI: 1033598503 · LOUISVILLE, MS 39339 · Rural Health Clinic/Center · NPI assigned 05/29/2015

$1.40M
Total Medicaid Paid
34,159
Total Claims
28,183
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFRYERY, DEBRA (DIRECTOR OF CLINIC OPERATIONS)
Parent OrganizationWINSTON MEDICAL CLINIC LLC
NPI Enumeration Date05/29/2015

Related Entities

Other providers sharing the same authorized official: FRYERY, DEBRA

ProviderCityStateTotal Paid
WINSTON MEDICAL CLINIC FAIR ELEMENTARY SCHOOL LOUISVILLE MS $585K
WINSTON MEDICAL CLINIC LLC NOXAPATER MS $494K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,544 $293K
2019 7,425 $315K
2020 4,309 $154K
2021 4,447 $174K
2022 5,766 $208K
2023 3,344 $149K
2024 2,324 $104K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,187 10,957 $1.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,340 1,214 $124K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 322 285 $37K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,516 1,295 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 72 61 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 994 825 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 23 21 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 569 527 $870.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 231 184 $742.11
36415 Collection of venous blood by venipuncture 1,702 1,459 $422.04
90688 56 52 $222.30
99051 14 13 $172.50
83655 24 20 $134.60
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 728 624 $85.86
92551 527 450 $77.39
90472 Immunization administration, each additional vaccine (list separately) 35 28 $58.42
85018 845 717 $18.79
99173 577 488 $16.30
36416 471 415 $3.04
3008F 8,769 7,537 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 520 470 $0.00
3079F 28 17 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $0.00
87634 79 67 $0.00
81003 152 124 $0.00
3077F 44 29 $0.00
99401 110 100 $0.00
96160 168 152 $0.00
80061 Lipid panel 30 28 $0.00
81025 13 12 $0.00