PRIMARY CARE - SOUTH LIMITED
NPI: 1366928087
· JACKSON, TN 38301
· 261QP2300X
$174K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
54 |
$1K |
| 2021 |
1,487 |
$32K |
| 2022 |
1,738 |
$36K |
| 2023 |
2,316 |
$52K |
| 2024 |
1,827 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,173 |
2,330 |
$105K |
| 99401 |
|
1,520 |
1,068 |
$26K |
| 99402 |
|
317 |
244 |
$13K |
| 99213 |
|
535 |
408 |
$12K |
| 99215 |
Prolong outpt/office vis |
179 |
126 |
$9K |
| 96372 |
|
367 |
240 |
$4K |
| 80305 |
|
393 |
295 |
$2K |
| 87811 |
|
44 |
39 |
$1K |
| 36415 |
|
524 |
421 |
$613.42 |
| G0310 |
Immunize counsel 5-15 min |
39 |
28 |
$424.90 |
| 90686 |
|
16 |
13 |
$142.87 |
| 96127 |
|
32 |
26 |
$109.47 |
| J0696 |
Ceftriaxone sodium injection |
18 |
15 |
$20.05 |
| J1885 |
Ketorolac tromethamine inj |
14 |
13 |
$18.06 |
| J1100 |
Dexamethasone sodium phos |
61 |
53 |
$17.04 |
| 3008F |
|
190 |
135 |
$0.00 |