Medicaid Provider Spending

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

SOUTHERN CLINIC PC

NPI: 1053410480 · DOTHAN, AL 36301 · Nurse Practitioner · NPI assigned 09/22/2006

$779K
Total Medicaid Paid
113,630
Total Claims
69,903
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOLMAN, BRIAN (OFFICE ADMINISTRATOR)
NPI Enumeration Date09/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,618 $180K
2019 19,068 $125K
2020 17,867 $108K
2021 12,489 $96K
2022 11,658 $93K
2023 15,699 $89K
2024 20,231 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 53,721 26,868 $459K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,512 7,913 $152K
99307 8,496 5,231 $62K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,928 3,466 $37K
99215 Prolong outpt/office vis 986 698 $19K
99233 Prolong inpt eval add15 m 519 262 $18K
99306 Prolong nursin fac eval 15m 398 347 $12K
99232 Subsequent hospital care, per day, moderate complexity 405 259 $11K
99305 299 207 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 238 198 $3K
99238 Hospital discharge day management, 30 minutes or less 17 13 $313.08
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36 29 $45.54
J1030 Injection, methylprednisolone acetate, 40 mg 15 14 $38.87
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 79 49 $30.00
80053 Comprehensive metabolic panel 13 13 $12.00
99441 18 15 $9.04
1101F 284 204 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 262 210 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 6,200 4,818 $0.00
3079F 230 150 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 822 677 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 15 $0.00
1036F 1,070 845 $0.00
G8410 Footwear evaluation performed and documented 286 226 $0.00
3017F 531 457 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 133 106 $0.00
1111F 746 468 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 108 100 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 170 105 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 270 235 $0.00
1126F 434 278 $0.00
G0008 Administration of influenza virus vaccine 27 25 $0.00
3074F 382 231 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 31 28 $0.00
1170F 474 300 $0.00
3044F 116 101 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 49 43 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 61 50 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14 13 $0.00
83735 14 14 $0.00
3080F 21 15 $0.00
3075F 32 25 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 34 27 $0.00
90674 12 12 $0.00
1125F 21 14 $0.00
3078F 778 493 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,121 3,914 $0.00
1160F 594 381 $0.00
G8404 Lower extremity neurological exam performed and documented 287 225 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,181 7,868 $0.00
G8482 Influenza immunization administered or previously received 823 654 $0.00
3077F 245 167 $0.00
2022F 45 38 $0.00
3288F 290 249 $0.00
1158F 27 19 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 176 149 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 123 75 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 105 81 $0.00
1159F 29 20 $0.00
G9782 History of or active diagnosis of familial hypercholesterolemia 89 63 $0.00
G9666 Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl 45 39 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 85 52 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 18 14 $0.00
90756 20 15 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 18 13 $0.00