Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SIKESTON SURGICAL SPECIALIST, LLC

NPI: 1386058170 · SIKESTON, MO 63801 · Surgery Physician · NPI assigned 06/19/2014

$7K
Total Medicaid Paid
210
Total Claims
166
Beneficiaries
3
Codes Billed
2019-02
First Month
2022-02
Last Month

Provider Details

Authorized OfficialTIDMORE, HOLLIS (OWNER)
NPI Enumeration Date06/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $710.43
2020 57 $3K
2021 101 $4K
2022 14 $354.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 133 110 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 31 $2K
99233 Prolong inpt eval add15 m 43 25 $2K