Medicaid Provider Spending

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

ALLERGY, ASTHMA, IMMUNOLOGY CENTER - TY PRINCE, PLLC

NPI: 1114752821 · MARYVILLE, TN 37801 · Allergy & Immunology Physician · NPI assigned 09/03/2024

$3K
Total Medicaid Paid
26
Total Claims
24
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAMBY, PAM (CREDENTIALING/ADMINISTRATOR)
NPI Enumeration Date09/03/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 26 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $228.49