Medicaid Provider Spending

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

BALANCED FAMILY HEALTH CARE, INC

NPI: 1164481644 · ANDALUSIA, AL 36420 · Family Medicine Physician · NPI assigned 03/22/2006

$15K
Total Medicaid Paid
3,525
Total Claims
3,329
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, JOANNE (PRESIDENT)
NPI Enumeration Date03/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 926 $2K
2019 786 $3K
2020 369 $2K
2021 154 $2K
2022 312 $2K
2023 362 $1K
2024 616 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 777 705 $12K
99223 Prolong inpt eval add15 m 23 19 $554.76
99310 Prolong nursin fac eval 15m 62 56 $553.01
99233 Prolong inpt eval add15 m 23 13 $445.97
99309 Subsequent nursing facility care, per day, low to moderate complexity 77 65 $335.19
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 24 $216.11
99232 Subsequent hospital care, per day, moderate complexity 20 13 $189.28
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 927 888 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 312 305 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 131 125 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 13 13 $0.00
99080 12 12 $0.00
36415 Collection of venous blood by venipuncture 101 98 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 229 226 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 762 741 $0.00
G8973 Most recent hemoglobin (hgb) level < 10 g/dl 27 26 $0.00