North Mississippi Medical Clinics INC
North Mississippi Medical Clinics INC was paid $16.92M by Medicaid between Jan 2018 and Dec 2024, across 165 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
TUPELO, MS 38801
Next to other Family Medicine Physician providers in Mississippi
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 130,629 | $2.87M | |
| 2019 | 117,124 | $2.69M | |
| 2020 | 73,229 | $2.21M | |
| 2021 | 82,234 | $2.88M | |
| 2022 | 79,909 | $2.54M | |
| 2023 | 80,172 | $1.98M | |
| 2024incomplete | 55,313 | $1.75M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 126,654 | 113,468 | $7.14M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 128,535 | 110,396 | $5.52M |
| 87428 | 6.7% | 26,422 | 22,990 | $1.13M | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 42,870 | 35,456 | $491K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 14,183 | 11,303 | $403K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 21,859 | 11,690 | $272K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 3,716 | 3,248 | $255K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 3,496 | 3,213 | $209K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 1,945 | 1,698 | $181K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22,067 | 18,815 | $149K |
| 59426 | <1% | 1,398 | 652 | $122K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 5,753 | 1,984 | $107K |
153 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 30,866 | $97K |
| 80053 | Comprehensive metabolic panel | <1% | 19,563 | $80K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 5,355 | $74K |
| 59425 | <1% | 650 | $57K | |
| 80061 | Lipid panel | <1% | 8,630 | $41K |
| 87807 | <1% | 2,498 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,068 | $30K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,860 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 543 | $26K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 272 | $24K |
| 99223 | Prolong inpt eval add15 m | <1% | 331 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,474 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 26,509 | $20K |
| 99307 | <1% | 3,298 | $19K | |
| 99318 | <1% | 292 | $19K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 523 | $18K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 157 | $18K |
| 99220 | <1% | 154 | $17K | |
| 90686 | <1% | 3,713 | $15K | |
| 81003 | <1% | 11,410 | $15K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,507 | $15K |
| 95886 | <1% | 255 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 406 | $13K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,199 | $13K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,491 | $12K |
| 81001 | <1% | 6,305 | $11K | |
| 80305 | <1% | 2,654 | $10K | |
| 84703 | <1% | 1,854 | $9K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 1,099 | $9K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 355 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 120 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 227 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 849 | $8K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 2,075 | $7K |
| 80076 | <1% | 3,063 | $6K | |
| 20610 | <1% | 501 | $6K | |
| 99442 | <1% | 184 | $4K | |
| 82044 | <1% | 2,160 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 173 | $4K |
| 86160 | <1% | 546 | $4K | |
| 82570 | <1% | 2,278 | $4K | |
| 82565 | <1% | 2,630 | $4K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 998 | $4K |
| 86140 | <1% | 2,625 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 128 | $4K |
| 90677 | <1% | 178 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 902 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 91 | $3K |
| 0001A | <1% | 141 | $3K | |
| 86308 | <1% | 786 | $3K | |
| 0002A | <1% | 131 | $3K | |
| 99051 | <1% | 275 | $3K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 121 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 59 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 245 | $3K |
| 82550 | <1% | 1,759 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,067 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 7,640 | $2K |
| 99490 | Ccm add 20min | <1% | 804 | $2K |
| 73630 | <1% | 137 | $2K | |
| 87210 | <1% | 664 | $2K | |
| 99305 | <1% | 63 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,124 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 120 | $2K |
| 99441 | <1% | 261 | $2K | |
| 74018 | <1% | 122 | $2K | |
| 96161 | <1% | 39 | $1K | |
| 85652 | <1% | 2,423 | $1K | |
| 73610 | <1% | 78 | $1K | |
| 99443 | <1% | 27 | $1K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 458 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 386 | $1K |
| 73130 | <1% | 97 | $989.54 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 108 | $981.98 |
| 73562 | <1% | 64 | $970.18 | |
| 73030 | <1% | 94 | $891.54 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 27 | $786.37 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18 | $673.39 |
| 72100 | <1% | 61 | $661.12 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 30 | $638.55 |
| 99460 | <1% | 13 | $596.74 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 165 | $540.76 |
| 74019 | <1% | 31 | $495.46 | |
| 90656 | <1% | 169 | $495.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 12 | $484.71 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 26 | $479.05 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 586 | $477.94 |
| 85027 | <1% | 262 | $428.06 | |
| 93000 | <1% | 71 | $422.53 | |
| 87400 | <1% | 46 | $408.01 | |
| 82962 | <1% | 342 | $398.56 | |
| 85651 | <1% | 169 | $365.46 | |
| 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) | <1% | 711 | $352.92 |
| 82043 | <1% | 138 | $352.62 | |
| 73502 | <1% | 17 | $346.30 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 650 | $318.48 |
| 99497 | <1% | 56 | $316.77 | |
| 93793 | <1% | 204 | $249.20 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $223.03 |
| 77085 | <1% | 107 | $193.81 | |
| 86318 | <1% | 13 | $187.69 | |
| 85610 | <1% | 105 | $160.03 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 47 | $93.51 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 142 | $91.08 |
| 84550 | <1% | 40 | $56.77 | |
| 82947 | <1% | 16 | $53.97 | |
| 82950 | <1% | 16 | $51.44 | |
| 90715 | <1% | 25 | $37.50 | |
| 91300 | <1% | 259 | $35.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $34.98 |
| 99459 | <1% | 25 | $33.60 | |
| J0290 | Injection, ampicillin sodium, 500 mg | <1% | 12 | $7.98 |
| 83735 | <1% | 15 | $5.43 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 675 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 7,789 | $0.00 |
| 99496 | 0% | 28 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 1,884 | $0.00 |
| 3080F | 0% | 399 | $0.00 | |
| 3079F | 0% | 1,215 | $0.00 | |
| 4010F | 0% | 169 | $0.00 | |
| 3075F | 0% | 891 | $0.00 | |
| 3074F | 0% | 1,499 | $0.00 | |
| 99439 | 0% | 255 | $0.00 | |
| 3008F | 0% | 489 | $0.00 | |
| 99489 | Ccm add 20min | 0% | 74 | $0.00 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 132 | $0.00 |
| 4008F | 0% | 139 | $0.00 | |
| 99406 | 0% | 12 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 57 | $0.00 |
| 3044F | 0% | 234 | $0.00 | |
| 99495 | 0% | 71 | $0.00 | |
| 1125F | 0% | 13 | $0.00 | |
| 90680 | 0% | 53 | $0.00 | |
| 90723 | 0% | 55 | $0.00 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 0% | 28 | $0.00 |
| 4000F | 0% | 13 | $0.00 | |
| 3077F | 0% | 936 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 3288F | 0% | 1,648 | $0.00 | |
| 0502F | 0% | 1,267 | $0.00 | |
| 99487 | Ccm add 20min | 0% | 214 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 6,062 | $0.00 |
| 1159F | 0% | 207 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 2,036 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 39 | $0.00 |
| 1160F | 0% | 207 | $0.00 | |
| 3078F | 0% | 1,624 | $0.00 | |
| 82310 | 0% | 14 | $0.00 | |
| 3051F | 0% | 15 | $0.00 | |
| 90670 | 0% | 158 | $0.00 | |
| 4004F | 0% | 56 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.