ACUTE CARE & FAMILY CLINIC OF PONTOTOC
NPI: 1356459069
· PONTOTOC, MS 38863
· 363L00000X
$559K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,741 |
$139K |
| 2019 |
5,275 |
$135K |
| 2020 |
3,958 |
$102K |
| 2021 |
6,440 |
$133K |
| 2022 |
2,221 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,643 |
4,012 |
$319K |
| 99213 |
|
1,466 |
1,280 |
$72K |
| 99203 |
|
689 |
638 |
$48K |
| 99051 |
|
2,003 |
1,752 |
$26K |
| 87804 |
|
1,986 |
883 |
$22K |
| 87811 |
|
702 |
651 |
$20K |
| 85025 |
|
2,932 |
2,574 |
$17K |
| 87880 |
|
1,482 |
1,335 |
$17K |
| 96372 |
|
692 |
551 |
$7K |
| 87426 |
|
170 |
146 |
$5K |
| 99202 |
|
46 |
42 |
$2K |
| 86328 |
|
70 |
64 |
$2K |
| 80061 |
|
63 |
51 |
$694.93 |
| 92551 |
|
89 |
77 |
$509.12 |
| 36415 |
|
229 |
206 |
$437.79 |
| 87651 |
|
14 |
13 |
$327.12 |
| J0696 |
Ceftriaxone sodium injection |
145 |
98 |
$177.54 |
| 87807 |
|
14 |
12 |
$95.49 |
| 99173 |
|
100 |
87 |
$86.54 |
| 81003 |
|
27 |
26 |
$49.44 |
| 96160 |
|
29 |
25 |
$27.16 |
| J1100 |
Dexamethasone sodium phos |
44 |
36 |
$11.30 |
| A4215 |
Sterile needle |
255 |
220 |
$6.00 |
| A4208 |
3 cc sterile syringe&needle |
543 |
463 |
$4.12 |
| 36416 |
|
2,725 |
2,395 |
$2.28 |
| 99072 |
|
2,477 |
2,151 |
$0.00 |