CAMPBELL COUNTY HMA, LLC
NPI: 1235411554
· LA FOLLETTE, TN 37766
· 363L00000X
$186K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,150 |
$39K |
| 2019 |
1,961 |
$65K |
| 2020 |
3,046 |
$34K |
| 2021 |
4,852 |
$17K |
| 2022 |
6,583 |
$30K |
| 2023 |
470 |
$143.60 |
| 2024 |
74 |
$536.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,875 |
3,430 |
$124K |
| 99233 |
Prolong inpt eval add15 m |
942 |
229 |
$25K |
| 99213 |
|
843 |
654 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
260 |
169 |
$12K |
| 99215 |
Prolong outpt/office vis |
144 |
111 |
$5K |
| 99232 |
|
134 |
40 |
$3K |
| 99222 |
|
41 |
28 |
$1K |
| 90686 |
|
125 |
99 |
$723.05 |
| 36415 |
|
1,553 |
1,200 |
$453.18 |
| 99239 |
|
17 |
14 |
$446.77 |
| G0439 |
Ppps, subseq visit |
164 |
108 |
$180.34 |
| 3008F |
|
1,576 |
1,135 |
$0.00 |
| 1126F |
|
880 |
684 |
$0.00 |
| 1125F |
|
476 |
346 |
$0.00 |
| 1036F |
|
719 |
487 |
$0.00 |
| 3079F |
|
218 |
164 |
$0.00 |
| 3074F |
|
573 |
417 |
$0.00 |
| G0008 |
Admin influenza virus vac |
40 |
28 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
73 |
32 |
$0.00 |
| 1170F |
|
562 |
360 |
$0.00 |
| 1034F |
|
168 |
122 |
$0.00 |
| 3075F |
|
48 |
43 |
$0.00 |
| 3080F |
|
94 |
51 |
$0.00 |
| 1101F |
|
46 |
40 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
107 |
59 |
$0.00 |
| 1160F |
|
1,060 |
806 |
$0.00 |
| 3288F |
|
1,407 |
1,018 |
$0.00 |
| 3077F |
|
340 |
254 |
$0.00 |
| 3078F |
|
676 |
521 |
$0.00 |
| 1159F |
|
671 |
545 |
$0.00 |
| 1100F |
|
75 |
31 |
$0.00 |
| 1090F |
|
144 |
87 |
$0.00 |
| G9622 |
No unheal etoh user |
31 |
27 |
$0.00 |
| G0444 |
Depression screen annual |
54 |
31 |
$0.00 |