NP / PA
Acute Care & Family Clinic of Pontotoc
Acute Care & Family Clinic of Pontotoc was paid $559K by Medicaid between Jan 2018 and Mar 2022, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoACUTE CARE & FAMILY CLINIC OF PONTOTOC
PONTOTOC, MS 38863
PONTOTOC, MS 38863
33aNPI1356459069assigned 08/25/2006
33bProvider typeNurse Practitioner
28Total paid$559K
24GClaims23,635
24DCodes billed26
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Nurse Practitioner providers in Mississippi
Rank by total paid#14 of 85
Median peer was paid$35K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,741 | $139K | |
| 2019 | 5,275 | $135K | |
| 2020 | 3,958 | $102K | |
| 2021 | 6,440 | $133K | |
| 2022 | 2,221 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 57% | 4,643 | 4,012 | $319K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,466 | 1,280 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 689 | 638 | $48K |
| 99051 | 4.6% | 2,003 | 1,752 | $26K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 1,986 | 883 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.6% | 702 | 651 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.0% | 2,932 | 2,574 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 1,482 | 1,335 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 692 | 551 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 170 | 146 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 46 | 42 | $2K |
| 86328 | <1% | 70 | 64 | $2K |
14 more codes
| 80061 | Lipid panel | <1% | 63 | $694.93 |
| 92551 | <1% | 89 | $509.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 229 | $437.79 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | $327.12 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 145 | $177.54 |
| 87807 | <1% | 14 | $95.49 | |
| 99173 | <1% | 100 | $86.54 | |
| 81003 | <1% | 27 | $49.44 | |
| 96160 | <1% | 29 | $27.16 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 44 | $11.30 |
| A4215 | Needle, sterile, any size, each | <1% | 255 | $6.00 |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 543 | $4.12 |
| 36416 | <1% | 2,725 | $2.28 | |
| 99072 | 0% | 2,477 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVAIL, GENA (OWNER)