ST. DOMINIC HOSPITAL MEDICINE LLC
NPI: 1104362292
· JACKSON, MS 39216
· 208M00000X
$1.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,602 |
$329K |
| 2019 |
10,871 |
$313K |
| 2020 |
8,643 |
$252K |
| 2021 |
5,977 |
$218K |
| 2022 |
1,075 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
|
18,245 |
6,629 |
$400K |
| 99223 |
Prolong inpt eval add15 m |
4,214 |
3,883 |
$259K |
| 99233 |
Prolong inpt eval add15 m |
6,894 |
3,127 |
$219K |
| 99239 |
|
3,526 |
3,179 |
$113K |
| 99220 |
|
1,417 |
1,340 |
$90K |
| 99217 |
|
1,601 |
1,526 |
$29K |
| 99231 |
|
1,803 |
475 |
$12K |
| 99291 |
|
187 |
159 |
$11K |
| 99221 |
|
252 |
229 |
$9K |
| 99219 |
|
12 |
12 |
$653.70 |
| 99225 |
|
17 |
12 |
$74.88 |