Medicaid Provider Spending

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

PRIMECARE CLINIC, PLLC

NPI: 1194940452 · BOLIVAR, TN 38008 · Internal Medicine Physician · NPI assigned 04/13/2007

$31K
Total Medicaid Paid
1,803
Total Claims
1,471
Beneficiaries
12
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialNKOMAZANA, BARBARA (PRACTICE MANAGER)
NPI Enumeration Date04/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,783 $30K
2019 20 $964.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 594 485 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 389 312 $12K
80305 266 218 $834.72
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46 42 $830.94
85025 Blood count; complete (CBC), automated, and automated differential WBC count 101 85 $463.36
36415 Collection of venous blood by venipuncture 297 239 $236.47
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 13 $105.86
3008F 15 15 $30.00
81002 33 25 $16.32
82962 18 13 $6.47
J1200 Injection, diphenhydramine hcl, up to 50 mg 14 12 $5.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 12 $4.78