Medicaid Provider Spending

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

1101 PRIMARY CARE, PLLC

NPI: 1083074587 · COOKEVILLE, TN 38501 · Family Medicine Physician · NPI assigned 02/26/2016

$28K
Total Medicaid Paid
974
Total Claims
785
Beneficiaries
4
Codes Billed
2019-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialSHIRLEY, CAROLYN (PRACTICE MANAGER)
NPI Enumeration Date02/26/2016

Related Entities

Other providers sharing the same authorized official: SHIRLEY, CAROLYN

ProviderCityStateTotal Paid
JANE ANNE GOTCHER MD LLC COOKEVILLE TN $142K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 242 $5K
2020 303 $9K
2021 429 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 845 683 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 90 78 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 12 $205.92
36415 Collection of venous blood by venipuncture 13 12 $17.80