WALTHALL GENERAL HOSPITAL
NPI: 1255649604
· TYLERTOWN, MS 39667
· 261QR1300X
$953K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,321 |
$239K |
| 2019 |
3,003 |
$217K |
| 2020 |
1,626 |
$119K |
| 2021 |
2,031 |
$141K |
| 2022 |
3,175 |
$126K |
| 2023 |
3,184 |
$79K |
| 2024 |
2,617 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,196 |
5,251 |
$535K |
| 99214 |
|
7,571 |
6,656 |
$400K |
| 96372 |
|
1,639 |
1,374 |
$16K |
| 36415 |
|
1,715 |
1,555 |
$726.99 |
| 0001A |
|
31 |
18 |
$251.10 |
| 0011A |
|
16 |
12 |
$107.62 |
| 87426 |
|
429 |
395 |
$9.85 |
| 3079F |
|
105 |
81 |
$0.00 |
| 3074F |
|
91 |
78 |
$0.00 |
| J3420 |
Vitamin b12 injection |
249 |
202 |
$0.00 |
| 90686 |
|
15 |
14 |
$0.00 |
| 83036 |
|
342 |
329 |
$0.00 |
| 90471 |
|
14 |
13 |
$0.00 |
| 3080F |
|
21 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 87804 |
|
379 |
274 |
$0.00 |
| 3077F |
|
45 |
39 |
$0.00 |
| 87880 |
|
46 |
43 |
$0.00 |
| 3078F |
|
26 |
26 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
14 |
$0.00 |