THE MEDICAL CLINIC OF DESOTO INC
NPI: 1093835209
· OLIVE BRANCH, MS 38654
· 261QP2300X
$108K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,670 |
$43K |
| 2019 |
2,010 |
$38K |
| 2020 |
1,272 |
$27K |
| 2022 |
17 |
$335.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,805 |
1,587 |
$65K |
| 99215 |
Prolong outpt/office vis |
502 |
442 |
$34K |
| 96372 |
|
221 |
169 |
$3K |
| 71046 |
|
106 |
90 |
$2K |
| 99490 |
Ccm add 20min |
351 |
344 |
$1K |
| 90756 |
|
129 |
119 |
$902.14 |
| 82962 |
|
731 |
618 |
$659.20 |
| 36415 |
|
350 |
314 |
$504.28 |
| J0702 |
Betamethasone acet&sod phosp |
181 |
153 |
$449.61 |
| 81002 |
|
57 |
49 |
$93.90 |
| 83036 |
|
16 |
15 |
$86.32 |
| J1885 |
Ketorolac tromethamine inj |
181 |
154 |
$41.13 |
| J1200 |
Diphenhydramine hcl injectio |
29 |
27 |
$10.80 |
| G0008 |
Admin influenza virus vac |
58 |
57 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |
| 1170F |
|
14 |
13 |
$0.00 |
| 3078F |
|
126 |
118 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |
| 3077F |
|
45 |
43 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
14 |
14 |
$0.00 |