Medicaid Provider Spending

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

BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER

NPI: 1346378528 · FORDYCE, AR 71742 · Rural Health Clinic/Center · NPI assigned 03/01/2007

$26K
Total Medicaid Paid
1,069
Total Claims
924
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialRIEVES, TAMARA (ADMINISTRATOR / CEO)
NPI Enumeration Date03/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 220 $6K
2019 336 $6K
2020 185 $4K
2021 83 $3K
2022 121 $4K
2023 110 $2K
2024 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 723 599 $20K
99307 98 93 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19 14 $1K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 62 58 $890.15
87430 140 135 $60.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $35.97
36415 Collection of venous blood by venipuncture 14 13 $0.04