BANYAN FAMILY NIGHT CLINIC, LLC
NPI: 1205318557
· CLEVELAND, TN 37312
· 363LF0000X
$184K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$10.11 |
| 2019 |
787 |
$30K |
| 2020 |
296 |
$12K |
| 2021 |
654 |
$29K |
| 2022 |
1,031 |
$39K |
| 2023 |
1,298 |
$42K |
| 2024 |
1,096 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,943 |
1,564 |
$63K |
| 99214 |
|
1,324 |
1,020 |
$59K |
| 99203 |
|
904 |
788 |
$50K |
| 99350 |
Prolong home eval add 15m |
624 |
503 |
$9K |
| 87880 |
|
247 |
216 |
$3K |
| 87804 |
|
92 |
33 |
$911.92 |
| 99349 |
|
13 |
12 |
$168.18 |
| 99050 |
|
15 |
13 |
$110.01 |
| 99051 |
|
13 |
12 |
$10.11 |