Medicaid Provider Spending

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

JAMES LEE DAVENPORT

NPI: 1184746869 · ELIZABETHTON, TN 37643 · Internal Medicine Physician · NPI assigned 04/04/2007

$55K
Total Medicaid Paid
1,858
Total Claims
1,563
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVENPORT, JAMES (OWNER)
NPI Enumeration Date04/04/2007

Related Entities

Other providers sharing the same authorized official: DAVENPORT, JAMES

ProviderCityStateTotal Paid
DAVENPORT DENTAL, LLC LITTLE ROCK AR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 133 $3K
2019 294 $8K
2020 291 $8K
2021 278 $9K
2022 326 $10K
2023 271 $8K
2024 265 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,381 1,172 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 108 95 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 74 67 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 105 98 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 95 41 $1K
90686 95 90 $292.66