Medicaid Provider Spending

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

MEDICAL SPECIALTIES PLLC

NPI: 1265294300 · DECATUR, TN 37322 · Medical Specialty Clinic/Center · NPI assigned 01/24/2024

$19K
Total Medicaid Paid
1,365
Total Claims
1,099
Beneficiaries
12
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERTS, ENGLISH (OWNER)
NPI Enumeration Date01/24/2024

Related Entities

Other providers sharing the same authorized official: ROBERTS, ENGLISH

ProviderCityStateTotal Paid
RESTORATION CLINIC DECATUR TN $1.42M
RESTORATION CLINIC DECATUR TN $18K
RESTORATION CLINIC DECATUR TN $233.22

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,365 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99497 171 148 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 77 72 $4K
99490 Ccm add 20min 366 271 $4K
96160 169 147 $2K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 177 146 $962.42
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74 45 $912.65
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 67 55 $656.95
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 178 147 $351.79
99407 23 21 $302.10
99406 16 14 $79.80
36415 Collection of venous blood by venipuncture 15 14 $20.10
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 32 19 $0.00