HICKORY FLAT CLINIC, LLC
NPI: 1326380189
· HICKORY FLAT, MS 38633
· 261QC1500X
$482K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,970 |
$53K |
| 2019 |
1,984 |
$50K |
| 2020 |
1,915 |
$45K |
| 2021 |
4,396 |
$111K |
| 2022 |
3,694 |
$105K |
| 2023 |
2,704 |
$74K |
| 2024 |
1,417 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,031 |
6,354 |
$337K |
| 87426 |
|
1,685 |
1,426 |
$45K |
| 99212 |
|
1,034 |
764 |
$26K |
| 87636 |
|
312 |
220 |
$22K |
| 96372 |
|
2,032 |
1,664 |
$16K |
| 87880 |
|
1,208 |
1,066 |
$13K |
| 87804 |
|
1,044 |
938 |
$11K |
| G2023 |
Specimen collect covid-19 |
238 |
186 |
$3K |
| 87635 |
|
102 |
83 |
$3K |
| 86328 |
|
81 |
70 |
$3K |
| 36415 |
|
822 |
749 |
$1K |
| 96110 |
|
62 |
56 |
$387.32 |
| 99443 |
|
16 |
13 |
$361.28 |
| 90471 |
|
71 |
44 |
$336.05 |
| 87807 |
|
26 |
24 |
$242.55 |
| J0696 |
Ceftriaxone sodium injection |
126 |
115 |
$130.90 |
| 92551 |
|
13 |
13 |
$126.57 |
| 87276 |
|
47 |
41 |
$75.90 |
| 87275 |
|
62 |
41 |
$75.90 |
| 90686 |
|
25 |
12 |
$62.08 |
| J1100 |
Dexamethasone sodium phos |
820 |
723 |
$57.97 |
| 99173 |
|
13 |
13 |
$35.97 |
| J1885 |
Ketorolac tromethamine inj |
31 |
29 |
$17.10 |
| J0945 |
Brompheniramine maleate inj |
179 |
141 |
$2.55 |