Medicaid Provider Spending

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

NPI: 1043362734 · MILLBROOK, AL 36054 · Family Medicine Physician · NPI assigned 01/16/2007

$7K
Total Medicaid Paid
266
Total Claims
218
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialLANE, JADE (CREDENTIALING MANAGER)
NPI Enumeration Date01/16/2007

Related Entities

Other providers sharing the same authorized official: LANE, JADE

ProviderCityStateTotal Paid
IVY CREEK OF ELMORE, LLC DEATSVILLE AL $1.18M
IVY CREEK OF ELMORE, LLC TALLASSEE AL $623K
CHILTON URGENT CARE, LLC CLANTON AL $103K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 266 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 85 62 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 78 70 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 91 74 $811.76
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $596.05