NP / PA
Westside Family Medical Clinic of Tupelo LLC
Westside Family Medical Clinic of Tupelo LLC was paid $192K by Medicaid between Jan 2018 and Oct 2022, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoWESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
TUPELO, MS 38801
TUPELO, MS 38801
33aNPI1427429992assigned 10/09/2015
33bProvider typePrimary Care Nurse Practitioner
28Total paid$192K
24GClaims5,485
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Primary Care Nurse Practitioner providers in Mississippi
Rank by total paid#3 of 12
Median peer was paid$12K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,716 | $52K | |
| 2019 | 786 | $25K | |
| 2020 | 717 | $26K | |
| 2021 | 1,106 | $43K | |
| 2022 | 1,160 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48% | 1,717 | 1,345 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,809 | 1,365 | $70K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 327 | 263 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 521 | 413 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 75 | 59 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 36 | 27 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 204 | 98 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 193 | 153 | $2K |
| 99336 | <1% | 37 | 37 | $2K | |
| 92551 | <1% | 72 | 51 | $392.13 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 36 | 28 | $226.81 |
| 80305 | <1% | 31 | 23 | $179.82 |
6 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 129 | $151.41 |
| 99173 | <1% | 70 | $146.56 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 112 | $102.93 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | $82.56 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 69 | $20.30 |
| 94760 | <1% | 25 | $1.55 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVICKERS, NEIL (OWNER)