Medicaid Provider Spending

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

LIFEPLEX MEDICAL INC

NPI: 1114449238 · PLYMOUTH, IN 46563 · Urgent Care Clinic/Center · NPI assigned 07/11/2017

$365K
Total Medicaid Paid
15,444
Total Claims
12,204
Beneficiaries
16
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialHOLM, BYRON (MD)
NPI Enumeration Date07/11/2017

Related Entities

Other providers sharing the same authorized official: HOLM, BYRON

ProviderCityStateTotal Paid
HOLM MEDICAL CLINIC INC PLYMOUTH IN $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,304 $80K
2019 5,125 $138K
2020 5,015 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,334 7,264 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 636 557 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 550 495 $20K
99308 Subsequent nursing facility care, per day, straightforward 1,184 919 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 993 637 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 183 140 $2K
36415 Collection of venous blood by venipuncture 1,476 1,300 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 265 237 $919.45
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $293.51
90686 30 28 $219.31
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $172.59
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 29 $140.88
81003 56 42 $54.33
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 401 316 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 249 188 $0.00