Medicaid Provider Spending

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

FAMILY WALK IN CLINIC OF MOUNTAIN GROVE INC

NPI: 1083705529 · MOUNTAIN GROVE, MO 65711 · Rural Health Clinic/Center · NPI assigned 09/28/2006

$697K
Total Medicaid Paid
10,029
Total Claims
8,314
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUGAN, KENNETH (VICE-PRESIDENT)
NPI Enumeration Date09/28/2006

Related Entities

Other providers sharing the same authorized official: DUGAN, KENNETH

ProviderCityStateTotal Paid
MANSFIELD CLINIC, INC. AVA MO $1.47M
MANSFIELD CLINIC, INC. MANSFIELD MO $851K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,502 $240K
2019 3,181 $218K
2020 1,405 $98K
2021 533 $31K
2022 457 $35K
2023 486 $40K
2024 465 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,603 6,136 $556K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,133 1,908 $121K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 265 244 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 26 $2K