GOOD HEALTH FAMILY CLINIC, INC
NPI: 1376873521
· SMITHVILLE, TN 37166
· 363LF0000X
$203K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,560 |
$37K |
| 2019 |
1,422 |
$35K |
| 2020 |
998 |
$27K |
| 2021 |
1,287 |
$32K |
| 2022 |
1,775 |
$33K |
| 2023 |
1,191 |
$25K |
| 2024 |
789 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,617 |
3,634 |
$152K |
| 96372 |
|
1,996 |
1,238 |
$25K |
| 99214 |
|
196 |
184 |
$8K |
| 87635 |
|
173 |
146 |
$7K |
| 87804 |
|
528 |
230 |
$6K |
| 99394 |
|
24 |
24 |
$2K |
| 87880 |
|
72 |
69 |
$1K |
| 36415 |
|
282 |
252 |
$657.93 |
| J0696 |
Ceftriaxone sodium injection |
189 |
154 |
$327.70 |
| 99212 |
|
18 |
14 |
$283.05 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
22 |
21 |
$232.11 |
| G0008 |
Admin influenza virus vac |
98 |
80 |
$194.46 |
| J3420 |
Vitamin b12 injection |
127 |
87 |
$155.30 |
| 90686 |
|
15 |
12 |
$143.71 |
| J1100 |
Dexamethasone sodium phos |
665 |
525 |
$101.39 |