Medicaid Provider Spending

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

HOMETOWN CARE OF MANTACHIE LLC

NPI: 1164987426 · MANTACHIE, MS 38855 · Family Nurse Practitioner · NPI assigned 01/31/2019

$304K
Total Medicaid Paid
9,862
Total Claims
8,657
Beneficiaries
17
Codes Billed
2019-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCARPENTER, ANDREA (OWNER)
NPI Enumeration Date01/31/2019

Related Entities

Other providers sharing the same authorized official: CARPENTER, ANDREA

ProviderCityStateTotal Paid
HOMETOWN CARE OF NORTH MISSISSIPPI, INC OKOLONA MS $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 104 $3K
2020 1,462 $37K
2021 2,484 $78K
2022 2,526 $80K
2023 2,183 $70K
2024 1,103 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,288 2,772 $151K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 861 770 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 427 363 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,296 2,112 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 758 691 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 461 427 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 349 291 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 147 141 $5K
86328 125 101 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 306 265 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 239 202 $936.50
36415 Collection of venous blood by venipuncture 362 311 $397.81
83036 Hemoglobin; glycosylated (A1C) 102 91 $148.61
87420 14 12 $135.24
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 12 $126.01
J0696 Injection, ceftriaxone sodium, per 250 mg 50 47 $49.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg 60 49 $36.49