Medicaid Provider Spending

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

SOUTHERN DIVINE FAMILY MEDICAL CENTER LLC

NPI: 1104456920 · ALTOONA, AL 35952 · Acute Care Nurse Practitioner · NPI assigned 01/21/2020

$415K
Total Medicaid Paid
16,252
Total Claims
10,142
Beneficiaries
14
Codes Billed
2020-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGASPAR, ENRICO (OWNER)
NPI Enumeration Date01/21/2020

Related Entities

Other providers sharing the same authorized official: GASPAR, ENRICO

ProviderCityStateTotal Paid
UNITED DOCTORS FAMILY MEDICAL CENTER LLC BOAZ AL $1.45M
MAGNOLIA MEDICAL LLC SANDROCK AL $599K
GANA HOLDINGS, LLC SNEAD AL $544K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 983 $17K
2021 2,720 $62K
2022 4,497 $106K
2023 4,940 $166K
2024 3,112 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,843 3,782 $376K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,343 1,124 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,905 1,429 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 114 111 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 51 41 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 31 31 $420.00
99308 Subsequent nursing facility care, per day, straightforward 6,162 3,137 $300.12
81003 120 80 $192.00
81002 66 64 $123.00
36415 Collection of venous blood by venipuncture 79 68 $84.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $72.34
99309 Subsequent nursing facility care, per day, low to moderate complexity 314 114 $0.00
99305 61 38 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 150 111 $0.00