DAVIS MEDICAL CLINIC LTD
NPI: 1184926081
· VERNON, AL 35592
· 207Q00000X
$642K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,208 |
$89K |
| 2019 |
7,552 |
$122K |
| 2020 |
4,382 |
$121K |
| 2021 |
5,418 |
$154K |
| 2022 |
4,343 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
11,817 |
9,073 |
$456K |
| 99214 |
|
2,292 |
1,581 |
$108K |
| 96372 |
|
3,931 |
2,724 |
$21K |
| 87804 |
|
872 |
725 |
$13K |
| 99203 |
|
404 |
365 |
$11K |
| 87426 |
|
406 |
381 |
$10K |
| 99212 |
|
189 |
177 |
$6K |
| 87880 |
|
473 |
380 |
$5K |
| 85025 |
|
824 |
658 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,704 |
1,817 |
$2K |
| 94690 |
|
73 |
50 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
175 |
136 |
$698.05 |
| J1100 |
Dexamethasone sodium phos |
2,268 |
1,536 |
$584.58 |
| 94375 |
|
72 |
50 |
$540.07 |
| 81003 |
|
210 |
170 |
$389.45 |
| 99204 |
|
15 |
12 |
$351.29 |
| 87807 |
|
32 |
32 |
$319.00 |
| 94200 |
|
72 |
50 |
$314.29 |
| 71046 |
|
20 |
13 |
$254.41 |
| 83036 |
|
27 |
24 |
$198.88 |
| 80305 |
|
14 |
14 |
$82.17 |
| 36415 |
|
13 |
13 |
$4.00 |