ST DOMINIC MEDICAL ASSOCIATES LLC
NPI: 1386708188
· JACKSON, MS 39216
· 103TC0700X
$680K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
193 |
$17K |
| 2019 |
1,403 |
$136K |
| 2020 |
2,247 |
$184K |
| 2021 |
3,175 |
$199K |
| 2022 |
4,787 |
$114K |
| 2023 |
1,600 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
|
6,912 |
2,552 |
$302K |
| 99223 |
Prolong inpt eval add15 m |
2,556 |
2,021 |
$231K |
| 99238 |
|
2,581 |
2,170 |
$100K |
| 99222 |
|
533 |
432 |
$32K |
| 99231 |
|
578 |
284 |
$6K |
| 99239 |
|
169 |
116 |
$6K |
| 99221 |
|
30 |
26 |
$1K |
| 99214 |
|
12 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
14 |
12 |
$260.16 |
| 90833 |
|
20 |
14 |
$245.80 |