Medicaid Provider Spending

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

GRAYSON CREEK MEDICAL CLINIC, LLC

NPI: 1184166035 · MOSELLE, MS 39459 · Family Nurse Practitioner · NPI assigned 11/09/2016

$424K
Total Medicaid Paid
10,345
Total Claims
8,494
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKNIGHT, MACK (OWNER)
NPI Enumeration Date11/09/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,147 $89K
2019 1,791 $70K
2020 859 $33K
2021 1,571 $58K
2022 1,697 $79K
2023 1,415 $64K
2024 865 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,820 5,609 $294K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 796 624 $40K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 582 513 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 970 888 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 287 251 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 331 299 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 376 193 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 63 39 $280.79
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $226.63
36415 Collection of venous blood by venipuncture 17 14 $167.13
92551 34 14 $161.09
90460 Immunization administration through 18 years of age via any route, first or only component 19 13 $127.71
90715 19 13 $25.60
81005 19 12 $15.02