Medicaid Provider Spending

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

LAKE CITY FAMILY MEDICINE LLC

NPI: 1396969002 · LAKE CITY, SC 29560 · Rural Health Clinic/Center · NPI assigned 04/12/2007

$106K
Total Medicaid Paid
3,747
Total Claims
3,421
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialBROWN, MORRIS (OWNER)
NPI Enumeration Date04/12/2007

Related Entities

Other providers sharing the same authorized official: BROWN, MORRIS

ProviderCityStateTotal Paid
LAKE CITY FAMILY MEDICINE LLC LAKE CITY SC $1.57M
LAKE CITY FAMILY MEDICINE, LLC KINGSTREE SC $390K
CAMAL LLC DAYTON OH $324K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 521 $6K
2019 615 $7K
2020 851 $4K
2021 480 $15K
2022 668 $35K
2023 504 $32K
2024 108 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 314 306 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 544 494 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 264 245 $18K
99050 632 604 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 354 177 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 153 150 $2K
97802 90 86 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 91 89 $1K
82947 309 288 $1K
36415 Collection of venous blood by venipuncture 444 436 $1K
0012A 13 13 $450.34
99454 238 238 $182.93
99457 213 213 $142.63
81001 43 39 $130.24
83036 Hemoglobin; glycosylated (A1C) 14 14 $109.46
99453 15 15 $13.95
91301 16 14 $0.16