PINE RIDGE FAMILY CLINIC, LLC
NPI: 1366075236
· COLLINS, MS 39428
· 363L00000X
$168K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
452 |
$12K |
| 2021 |
1,160 |
$56K |
| 2022 |
1,280 |
$52K |
| 2023 |
652 |
$35K |
| 2024 |
244 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,317 |
1,159 |
$73K |
| 99214 |
|
432 |
376 |
$30K |
| 99203 |
|
259 |
252 |
$19K |
| 99202 |
|
573 |
490 |
$19K |
| 87426 |
|
394 |
365 |
$13K |
| 87811 |
|
176 |
163 |
$5K |
| 87428 |
|
142 |
134 |
$4K |
| 87804 |
|
316 |
136 |
$3K |
| 87635 |
|
56 |
53 |
$2K |
| 96372 |
|
90 |
83 |
$960.38 |
| 87880 |
|
20 |
20 |
$247.72 |
| J0702 |
Betamethasone acet&sod phosp |
13 |
13 |
$58.20 |