Medicaid Provider Spending

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

SMITH LAKE FAMILY CARE LLC

NPI: 1306447776 · JASPER, AL 35503 · Family Nurse Practitioner · NPI assigned 11/03/2020

$215K
Total Medicaid Paid
10,229
Total Claims
8,328
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAWTHORNE, MICHELLE (CREDENTIALING AND BILLING MANAGER)
NPI Enumeration Date11/03/2020

Related Entities

Other providers sharing the same authorized official: HAWTHORNE, MICHELLE

ProviderCityStateTotal Paid
BOARD OF TRUSTEES, UNIVERSITY OF ALABAMA TUSCALOOSA AL $170K
ALPHA NEURON, LLC TUSCALOOSA AL $134K
SOUTHCOAST MEDICAL SERVICES LILLIAN AL $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 53 $1K
2021 1,251 $37K
2022 1,992 $42K
2023 4,227 $82K
2024 2,706 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,915 2,548 $107K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,914 1,789 $46K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,232 1,075 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,604 1,494 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 276 227 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 800 761 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 38 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 215 178 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 34 $819.20
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $544.00
99051 87 83 $228.02
87807 27 25 $222.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 66 64 $41.32