Medicaid Provider Spending

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

FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA

NPI: 1265727259 · LITTLE ROCK, AR 72211 · Allergy Physician · NPI assigned 06/17/2011

$22K
Total Medicaid Paid
1,021
Total Claims
723
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialJEFFERS, TERESA (PRESIDENT/OWNER)
NPI Enumeration Date06/17/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87 $2K
2019 196 $4K
2020 275 $2K
2021 55 $1K
2022 73 $2K
2023 239 $7K
2024 96 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 167 147 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 269 195 $5K
94010 217 161 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 61 29 $3K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 14 12 $1K
96160 247 160 $0.00
A4617 Mouth piece 46 19 $0.00