Medicaid Provider Spending

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

SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER

NPI: 1215205265 · CLYDE, TX 79510 · Federally Qualified Health Center (FQHC) · NPI assigned 12/06/2011

$2.37M
Total Medicaid Paid
21,696
Total Claims
19,565
Beneficiaries
19
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBETCHER, TINA (BILLING MANAGER/CREDENTIALER)
NPI Enumeration Date12/06/2011

Related Entities

Other providers sharing the same authorized official: BETCHER, TINA

ProviderCityStateTotal Paid
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER BRECKENRIDGE TX $2.84M
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER ALBANY TX $2.23M
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER CROSS PLAINS TX $1.46M
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER BAIRD TX $644K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 634 $93K
2021 5,986 $668K
2022 6,813 $672K
2023 4,609 $509K
2024 3,654 $423K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,833 6,681 $2.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,322 3,930 $128K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,696 3,509 $119K
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 2,026 1,803 $68K
90837 Psychotherapy, 53 minutes with patient 148 128 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 370 355 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 466 440 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 286 269 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 309 282 $2K
90834 Psychotherapy, 45 minutes with patient 12 12 $796.60
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 13 $718.70
CP002 42 37 $345.00
90686 46 45 $201.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26 26 $8.88
36415 Collection of venous blood by venipuncture 1,800 1,758 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 130 122 $0.00
92587 69 68 $0.00
99173 62 61 $0.00
90472 Immunization administration, each additional vaccine (list separately) 37 26 $0.00