MISSISSIPPI MEDICAL CLINIC
NPI: 1114694536
· TAYLORSVILLE, MS 39168
· Family Nurse Practitioner
· NPI assigned 08/24/2021
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | BULLOCK, PATTY (NP MANAGING PARTNER) |
| NPI Enumeration Date | 08/24/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
78 |
$2K |
| 2022 |
814 |
$35K |
| 2023 |
1,200 |
$52K |
| 2024 |
505 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,565 |
1,319 |
$85K |
| 99203 |
|
241 |
211 |
$16K |
| 87426 |
|
273 |
247 |
$8K |
| 87804 |
|
153 |
141 |
$4K |
| 96372 |
|
238 |
196 |
$2K |
| 87880 |
|
86 |
84 |
$1K |
| 99214 |
|
13 |
12 |
$388.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
27 |
$32.00 |