Medicaid Provider Spending

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

SOUTH POLK MEDICAL CLINIC LLC

NPI: 1043351760 · DALLAS, TX 75224 · 363L00000X

$665K
Total Medicaid Paid
29,838
Total Claims
23,904
Beneficiaries
47
Codes Billed
2018-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $259.88
2019 17 $298.59
2020 2,198 $35K
2021 6,453 $100K
2022 6,591 $140K
2023 5,346 $156K
2024 9,221 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99091 1,070 1,024 $142K
99213 4,587 4,076 $130K
99394 1,360 1,222 $98K
99214 1,902 1,708 $72K
99393 809 745 $56K
90460 3,999 1,430 $34K
99000 2,981 2,649 $24K
99392 266 226 $16K
87635 315 281 $13K
99395 192 175 $11K
87804 718 333 $9K
87880 639 556 $7K
87426 171 151 $7K
J1050 Medroxyprogesterone acetate 116 94 $6K
81003 2,826 2,528 $5K
81025 826 732 $5K
99212 206 181 $4K
90471 359 312 $4K
94010 212 187 $3K
96372 380 324 $3K
92551 455 405 $3K
90472 252 177 $3K
90461 435 288 $2K
96160 1,384 1,223 $2K
93000 153 132 $1K
G2023 Specimen collect covid-19 96 83 $1K
G0444 Depression screen annual 249 234 $1K
96110 86 57 $576.22
94640 55 45 $513.07
90619 71 58 $335.40
90715 91 76 $100.74
90658 286 261 $93.28
A7003 Nebulizer administration set 94 77 $52.85
90651 238 203 $15.27
J7611 Albuterol non-comp con 48 38 $8.26
90734 97 88 $0.28
90620 141 119 $0.25
90677 12 12 $0.07
90656 18 18 $0.04
90710 17 14 $0.00
99173 593 498 $0.00
90700 89 78 $0.00
90649 16 16 $0.00
G8510 Scr dep neg, no plan reqd 117 106 $0.00
96127 753 614 $0.00
99459 42 36 $0.00
90696 16 14 $0.00