Medicaid Provider Spending

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

STANDARD MEDICAL CLINIC, PA

NPI: 1316096647 · PORT ARTHUR, TX 77642 · Family Nurse Practitioner · NPI assigned 01/09/2007

$477K
Total Medicaid Paid
64,586
Total Claims
57,768
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAYOR, BOBBY (COO ADMINISTRATOR)
NPI Enumeration Date01/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,360 $10K
2019 1,735 $11K
2020 2,193 $24K
2021 11,021 $116K
2022 16,961 $123K
2023 18,422 $111K
2024 12,894 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,872 10,277 $324K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,170 1,095 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,002 2,705 $42K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 263 250 $16K
99308 Subsequent nursing facility care, per day, straightforward 1,706 1,434 $16K
99406 1,006 951 $8K
J1030 Injection, methylprednisolone acetate, 40 mg 1,056 985 $4K
90756 288 279 $4K
99307 498 448 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 37 $2K
99232 Subsequent hospital care, per day, moderate complexity 63 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 124 121 $1K
99304 53 37 $1K
99233 Prolong inpt eval add15 m 21 12 $1K
99223 Prolong inpt eval add15 m 15 12 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 15 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,748 1,626 $922.76
90661 30 30 $532.77
99305 50 50 $381.52
99318 26 25 $274.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,690 1,516 $153.80
93000 14 14 $108.80
J1010 Injection, methylprednisolone acetate, 1 mg 27 27 $66.24
J0696 Injection, ceftriaxone sodium, per 250 mg 85 79 $32.85
96127 638 618 $9.45
1170F 8,421 7,506 $0.00
3008F 3,321 3,031 $0.00
1101F 508 476 $0.00
3080F 441 427 $0.00
1126F 220 215 $0.00
3079F 387 372 $0.00
1125F 164 160 $0.00
3075F 421 405 $0.00
3074F 322 314 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 127 111 $0.00
G0008 Administration of influenza virus vaccine 51 51 $0.00
1160F 7,511 6,668 $0.00
1159F 7,515 6,670 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,524 7,586 $0.00
3077F 408 397 $0.00
3078F 367 352 $0.00
0521F 367 360 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00