HOMETOWN FAMILY MEDICAL
NPI: 1225529621
· MANCHESTER, TN 37355
· 207P00000X
$275K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
105 |
$5K |
| 2021 |
634 |
$23K |
| 2022 |
2,266 |
$87K |
| 2023 |
2,413 |
$100K |
| 2024 |
1,320 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,569 |
2,103 |
$123K |
| 99214 |
|
1,183 |
1,012 |
$66K |
| 99203 |
|
740 |
682 |
$47K |
| 99204 |
|
234 |
223 |
$18K |
| 87804 |
|
466 |
255 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
94 |
86 |
$5K |
| 87880 |
|
443 |
410 |
$4K |
| 96372 |
|
345 |
236 |
$3K |
| 87426 |
|
99 |
90 |
$3K |
| 36415 |
|
488 |
430 |
$935.95 |
| 81003 |
|
32 |
25 |
$72.04 |
| J1100 |
Dexamethasone sodium phos |
45 |
40 |
$15.43 |