Home ›
MS ›
TUPELO ›
WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
NPI: 1427429992
· TUPELO, MS 38801
· 363LP2300X
$192K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,716 |
$52K |
| 2019 |
786 |
$25K |
| 2020 |
717 |
$26K |
| 2021 |
1,106 |
$43K |
| 2022 |
1,160 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,717 |
1,345 |
$92K |
| 99213 |
|
1,809 |
1,365 |
$70K |
| 87426 |
|
327 |
263 |
$9K |
| 96372 |
|
521 |
413 |
$6K |
| 99203 |
|
75 |
59 |
$4K |
| 99204 |
|
36 |
27 |
$3K |
| 87804 |
|
204 |
98 |
$2K |
| 87880 |
|
193 |
153 |
$2K |
| 99336 |
|
37 |
37 |
$2K |
| 92551 |
|
72 |
51 |
$392.13 |
| J0702 |
Betamethasone acet&sod phosp |
36 |
28 |
$226.81 |
| 80305 |
|
31 |
23 |
$179.82 |
| 36415 |
|
129 |
122 |
$151.41 |
| 99173 |
|
70 |
50 |
$146.56 |
| J0696 |
Ceftriaxone sodium injection |
112 |
84 |
$102.93 |
| 90471 |
|
22 |
12 |
$82.56 |
| J1100 |
Dexamethasone sodium phos |
69 |
58 |
$20.30 |
| 94760 |
|
25 |
22 |
$1.55 |