Medicaid Provider Spending

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

TENN-TOM MED LLC

NPI: 1174294797 · BURNSVILLE, MS 38833 · Primary Care Clinic/Center · NPI assigned 09/23/2021

$5K
Total Medicaid Paid
414
Total Claims
132
Beneficiaries
5
Codes Billed
2022-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialWHITEHEAD, CAMILLE (MANAGING NURSE PRACTITIONER)
NPI Enumeration Date09/23/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 399 $4K
2023 15 $921.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 147 59 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 44 37 $842.26
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $463.66
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 150 12 $335.39
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 12 $147.35