Medicaid Provider Spending

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

SOUTH BALDWIN FAMILY PRACTICE LLC

NPI: 1184666760 · FOLEY, AL 36535 · Family Medicine Physician · NPI assigned 06/11/2006

$7K
Total Medicaid Paid
555
Total Claims
495
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialALLEN, ELLIS (OWNER)
NPI Enumeration Date06/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 317 $551.50
2019 163 $1K
2022 34 $1K
2023 41 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95810 Polysomnography; sleep staging with 4 or more additional parameters 41 38 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 79 65 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 12 $670.22
99490 Ccm add 20min 399 367 $560.20
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 13 $39.40