FAMILY PRACTICE CENTER OF TULLAHOMA LLC
NPI: 1275796880
· TULLAHOMA, TN 37388
· 207Q00000X
$513K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,918 |
$94K |
| 2019 |
6,096 |
$96K |
| 2020 |
6,100 |
$69K |
| 2021 |
7,356 |
$99K |
| 2022 |
5,265 |
$76K |
| 2023 |
4,436 |
$49K |
| 2024 |
3,188 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
10,053 |
7,454 |
$249K |
| 99213 |
|
7,226 |
5,736 |
$170K |
| 99309 |
|
5,059 |
2,749 |
$37K |
| 99308 |
|
4,608 |
3,104 |
$28K |
| 96372 |
|
2,139 |
1,514 |
$12K |
| 99442 |
|
491 |
386 |
$6K |
| 36415 |
|
5,853 |
4,565 |
$4K |
| 99441 |
|
257 |
198 |
$3K |
| 99204 |
|
33 |
25 |
$2K |
| 99305 |
|
42 |
26 |
$608.57 |
| 90686 |
|
40 |
30 |
$243.12 |
| J0696 |
Ceftriaxone sodium injection |
318 |
237 |
$233.73 |
| 71046 |
|
34 |
26 |
$206.45 |
| J1100 |
Dexamethasone sodium phos |
462 |
345 |
$199.91 |
| 3044F |
|
141 |
119 |
$82.74 |
| 81003 |
|
45 |
36 |
$25.72 |
| G2211 |
Complex e/m visit add on |
37 |
24 |
$23.83 |
| G0444 |
Depression screen annual |
78 |
50 |
$19.71 |
| G9903 |
Pt scrn tbco id as non user |
301 |
239 |
$0.00 |
| 1036F |
|
301 |
240 |
$0.00 |
| 3048F |
|
119 |
87 |
$0.00 |
| G0439 |
Ppps, subseq visit |
64 |
37 |
$0.00 |
| 1170F |
|
57 |
38 |
$0.00 |
| G0008 |
Admin influenza virus vac |
47 |
42 |
$0.00 |
| G8754 |
Dias bp less 90 |
40 |
31 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
360 |
289 |
$0.00 |
| 4274F |
|
32 |
30 |
$0.00 |
| G8752 |
Sys bp less 140 |
38 |
32 |
$0.00 |
| 3288F |
|
57 |
38 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
27 |
25 |
$0.00 |