Medicaid Provider Spending

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

LAKE CITY MEDICAL ASSOCIATES 2017, LLC

NPI: 1316477060 · LAKE CITY, SC 29560 · Primary Care Clinic/Center · NPI assigned 06/15/2017

$349K
Total Medicaid Paid
8,177
Total Claims
7,122
Beneficiaries
12
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialGODWIN, SHEILA (OFFICE MANAGER)
NPI Enumeration Date06/15/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,361 $94K
2019 2,418 $96K
2020 1,960 $84K
2021 1,438 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,185 4,458 $236K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,301 1,157 $78K
99442 672 583 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 127 117 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 65 57 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 33 $1K
36415 Collection of venous blood by venipuncture 518 471 $851.23
90658 44 41 $525.29
90756 34 30 $336.37
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23 22 $216.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 157 141 $190.38
G0008 Administration of influenza virus vaccine 17 12 $0.00