Medicaid Provider Spending

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

ST DOMINIC MEDICAL ASSOCIATES LLC

NPI: 1174757017 · JACKSON, MS 39216 · Otolaryngology Physician · NPI assigned 05/06/2009

$13K
Total Medicaid Paid
185
Total Claims
178
Beneficiaries
4
Codes Billed
2018-06
First Month
2022-10
Last Month

Provider Details

Authorized OfficialSINCLAIR, JENNIFER (VICE PRESIDENT OF FINANCE)
Parent OrganizationST DOMINIC JACKSON MEMORIAL HOSPITAL
NPI Enumeration Date05/06/2009

Related Entities

Other providers sharing the same authorized official: SINCLAIR, JENNIFER

ProviderCityStateTotal Paid
ST. DOMINIC HOSPITAL MEDICINE LLC JACKSON MS $1.14M
ST DOMINIC MEDICAL ASSOCIATES JACKSON MS $206K
ST DOMINIC MEDICAL ASSOCIATES, LLC CLINTON MS $185K
ST DOMINIC MEDICAL ASSOCIATES LLC JACKSON MS $145K
ST DOMINIC MEDICAL ASSOCIATES LLC BRANDON MS $134K
ST DOMINIC MEDICAL ASSOCIATES LLC JACKSON MS $38K
ST DOMINIC MEDICAL ASSOCIATES LLC JACKSON MS $13K
ST DOMINIC MEDICAL ASSOCIATES LLC JACKSON MS $2K
ST. DOMINIC MEDICAL ASSOCIATES LLC JACKSON MS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $2K
2019 63 $4K
2021 55 $5K
2022 43 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 74 74 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53 50 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42 38 $2K