Medicaid Provider Spending

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

FAMILY WELLNESS CLINIC LLC

NPI: 1457544066 · PORT GIBSON, MS 39150 · Family Medicine Physician · NPI assigned 08/27/2007

$58K
Total Medicaid Paid
2,236
Total Claims
1,796
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialANDERSON, TANYA (MEMBER)
NPI Enumeration Date08/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 823 $21K
2019 619 $12K
2020 356 $8K
2021 275 $9K
2022 101 $4K
2024 62 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 866 715 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,041 862 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 239 150 $1K
36415 Collection of venous blood by venipuncture 31 27 $472.86
J1885 Injection, ketorolac tromethamine, per 15 mg 21 13 $44.72
J0696 Injection, ceftriaxone sodium, per 250 mg 16 15 $42.12
82962 22 14 $11.80