Medicaid Provider Spending

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

MAIN STREET CLINICAL LABORATORY, INC

NPI: 1174859714 · SOUTHAVEN, MS 38671 · 291U00000X

$23K
Total Medicaid Paid
16,548
Total Claims
11,100
Beneficiaries
18
Codes Billed
2018-01
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,193 $21K
2019 1,355 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 1,312 1,165 $5K
85025 1,593 1,245 $3K
84443 387 364 $2K
83036 590 551 $2K
80048 965 656 $2K
82306 265 240 $2K
80061 330 305 $2K
P9603 One-way allow prorated miles 4,392 2,538 $2K
85027 523 426 $1K
80164 192 165 $775.88
85610 719 192 $532.45
87502 28 21 $360.95
G0471 Ven blood coll snf/hha 3,621 2,082 $278.75
83735 72 56 $232.68
81001 375 342 $95.75
87503 28 21 $88.08
36415 1,001 608 $83.12
P9604 One-way allow prorated trip 155 123 $6.71