Medicaid Provider Spending

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

NAVARRO COUNTY AMBULATORY CARE ASSOCIATION

NPI: 1124782875 · CORSICANA, TX 75110 · Federally Qualified Health Center (FQHC) · NPI assigned 10/28/2021

$70K
Total Medicaid Paid
2,692
Total Claims
2,501
Beneficiaries
14
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUMMERALL, MARTY (CEO)
NPI Enumeration Date10/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 803 $14K
2024 1,889 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 927 848 $19K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 334 302 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 115 114 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 254 231 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 79 79 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 78 76 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 354 330 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 93 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 73 51 $519.95
87807 58 57 $337.39
96160 198 197 $302.58
90472 Immunization administration, each additional vaccine (list separately) 21 15 $217.98
97802 51 51 $10.50
90656 57 57 $0.00