Medicaid Provider Spending

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

FAITH FAMILY CLINIC OF BOONEVILLE

NPI: 1063911485 · BOONEVILLE, MS 38829 · Primary Care Clinic/Center · NPI assigned 02/12/2018

$519K
Total Medicaid Paid
22,799
Total Claims
19,143
Beneficiaries
18
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJANZEN, AMBER (FNP)
NPI Enumeration Date02/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,746 $40K
2019 4,609 $108K
2020 3,306 $76K
2021 4,236 $99K
2022 4,310 $94K
2023 3,075 $66K
2024 1,517 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,971 5,768 $339K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,010 885 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 475 436 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,813 1,552 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,569 1,426 $17K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 613 573 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,297 2,904 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,411 657 $15K
36415 Collection of venous blood by venipuncture 1,938 1,691 $3K
87807 90 86 $880.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,402 1,227 $560.09
J0696 Injection, ceftriaxone sodium, per 250 mg 396 350 $439.59
92551 34 32 $249.01
96160 44 40 $90.72
99173 60 54 $50.48
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) 12 12 $14.90
36416 1,329 1,162 $1.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 335 288 $0.00