Medicaid Provider Spending

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

ACCESS FAMILY HEALTH SERVICES, INC.

NPI: 1457453730 · SMITHVILLE, MS 38870 · Community Health Clinic/Center · NPI assigned 09/05/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SUMERFORD, MARILYN controls 15+ related entities in our dataset. Read more

$711K
Total Medicaid Paid
35,468
Total Claims
29,332
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUMERFORD, MARILYN (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/05/2006

Related Entities

Other providers sharing the same authorized official: SUMERFORD, MARILYN

ProviderCityStateTotal Paid
ACCESS FAMILY HEALTH SERVICES, INC. TREMONT MS $300K
ACCESS FAMILY HEALTH SERVICES, INC. TUPELO MS $290K
ACCESS FAMILY HEALTH SERVICES, INC. PONTOTOC MS $134K
ACCESS FAMILY HEALTH SERVICES, INC. AMORY MS $132K
ACCESS FAMILY HEALTH SERVICES, INC. NETTLETON MS $122K
ACCESS FAMILY HEALTH SERVICES, INC. TREMONT MS $109K
ACCESS FAMILY HEALTH SERVICES, INC. SMITHVILLE MS $78K
ACCESS FAMILY HEALTH SERVICES, INC. HAMILTON MS $35K
ACCESS FAMILY HEALTH SERVICES, INC. SMITHVILLE MS $21K
ACCESS FAMILY HEALTH SERVICES, INC. PONTOTOC MS $13K
ACCESS FAMILY HEALTH SERVICES, INC. HOULKA MS $12K
ACCESS FAMILY HEALTH SERVICES, INC. OKOLONA MS $11K
ACCESS FAMILY HEALTH SERVICES, INC. NETTLETON MS $9K
ACCESS FAMILY HEALTH SERVICES, INC. ECRU MS $5K
ACCESS FAMILY HEALTH SERVICES, INC. OKOLONA MS $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,396 $121K
2019 3,520 $134K
2020 3,138 $121K
2021 7,671 $144K
2022 7,921 $114K
2023 6,555 $48K
2024 3,267 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,752 3,851 $321K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,950 4,064 $279K
90837 Psychotherapy, 53 minutes with patient 596 426 $72K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,039 3,476 $21K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 580 557 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 103 75 $7K
36415 Collection of venous blood by venipuncture 1,834 1,497 $2K
80305 918 802 $318.83
96127 13 12 $264.22
90686 421 394 $209.25
0001A 16 13 $143.48
0011A 23 21 $35.87
0012A 12 12 $35.00
G0008 Administration of influenza virus vaccine 155 141 $10.56
1159F 1,195 969 $0.00
3725F 1,113 943 $0.00
1160F 3,232 2,577 $0.00
3078F 1,335 1,126 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 25 $0.00
G0444 Annual depression screening, 5 to 15 minutes 19 19 $0.00
3008F 3,186 2,587 $0.00
3079F 438 376 $0.00
1036F 1,988 1,613 $0.00
1125F 773 645 $0.00
1126F 1,514 1,251 $0.00
3074F 1,592 1,324 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 155 146 $0.00
3075F 119 104 $0.00
1034F 199 145 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 140 115 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 26 $0.00