Medicaid Provider Spending

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

SUMRALL FAMILY HEALTH CENTER

NPI: 1184694036 · SUMRALL, MS 39482 · Federally Qualified Health Center (FQHC) · NPI assigned 01/24/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROBINSON, JANICE controls 20+ related entities in our dataset. Read more

$1.07M
Total Medicaid Paid
35,300
Total Claims
30,926
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBINSON, JANICE (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
NPI Enumeration Date01/24/2006

Related Entities

Other providers sharing the same authorized official: ROBINSON, JANICE

ProviderCityStateTotal Paid
MINOR CARE CLINIC HATTIESBURG MS $2.54M
HATTIESBURG FAMILY HEALTH CENTER HATTIESBURG MS $1.31M
BROOKLYN FAMILY HEALTH CENTER BROOKLYN MS $897K
N R BURGER SCHOOL AND COMMUNITY CLINIC HATTIESBURG MS $896K
LUMBERTON FAMILY HEALTH CENTER LUMBERTON MS $895K
HATTIESBURG COMMUNITY DENTAL CENTER HATTIESBURG MS $857K
WOMEN'S HEALTH CENTER HATTIESBURG MS $834K
HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC HATTIESBURG MS $832K
NEW AUGUSTA FAMILY HEALTH CENTER NEW AUGUSTA MS $762K
HATTIESBURG PUBLIC SCHOOL AND COMMUNITY CLINIC HATTIESBURG MS $762K
PETAL SCHOOL CLINIC PETAL MS $715K
SEMINARY FAMILY HEALTH CENTER SEMINARY MS $669K
HATTIESBURG HIGH SCHOOL CAMPUS CLINIC HATTIESBURG MS $626K
PICAYUNE FAMILY HEALTH CENTER PICAYUNE MS $612K
BEAUMONT FAMILY HEALTH CENTER BEAUMONT MS $575K
SEMRHI SUPPORT SERVICE CENTER HATTIESBURG MS $393K
ROWAN ELEMENTARY SCHOOL HATTIESBURG MS $59K
PETAL PRIMARY SCHOOL PETAL MS $42K
PETAL ELEMENTARY SCHOOL PETAL MS $37K
PETAL MIDDLE SCHOOL PETAL MS $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,741 $107K
2019 5,285 $235K
2020 3,799 $193K
2021 5,089 $189K
2022 6,408 $146K
2023 6,857 $123K
2024 5,121 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,113 8,928 $936K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 576 469 $77K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,508 3,731 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 30 $5K
36415 Collection of venous blood by venipuncture 2,341 2,159 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 208 177 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 563 436 $792.41
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 16 $353.42
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 45 43 $320.16
90460 Immunization administration through 18 years of age via any route, first or only component 158 117 $309.26
81003 430 386 $104.07
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 176 157 $5.76
83036 Hemoglobin; glycosylated (A1C) 81 72 $1.94
3077F 408 357 $0.00
1160F 1,744 1,530 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 997 841 $0.00
1159F 1,743 1,531 $0.00
3078F 1,966 1,785 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 728 619 $0.00
80061 Lipid panel 80 69 $0.00
82947 113 105 $0.00
90734 16 12 $0.00
81002 46 40 $0.00
99173 100 79 $0.00
81025 59 48 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 18 13 $0.00
3008F 3,180 2,807 $0.00
90686 316 275 $0.00
3079F 635 581 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 68 67 $0.00
36416 1,070 972 $0.00
3074F 2,003 1,821 $0.00
1220F 450 399 $0.00
3075F 79 66 $0.00
85018 93 77 $0.00
92551 67 52 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 19 19 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00
3080F 34 26 $0.00