Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › POPLAR BLUFF › POPLAR BLUFF PEDIATRIC ASSOC LL

POPLAR BLUFF PEDIATRIC ASSOC LL

NPI: 1457881963 · POPLAR BLUFF, MO 63901 · Rural Health Clinic/Center · NPI assigned 06/16/2017

$26K
Total Medicaid Paid
2,368
Total Claims
1,977
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialMOSS, TIFFANY (OFFICE MANAGER)
NPI Enumeration Date06/16/2017

Related Entities

Other providers sharing the same authorized official: MOSS, TIFFANY

ProviderCityStateTotal Paid
POPLAR BLUFF PEDIATRIC ASSOC LL POPLAR BLUFF MO $1.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,891 $20K
2019 477 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 882 822 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 494 238 $7K
87807 355 334 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 296 272 $2K
83655 118 111 $1K
94760 223 200 $559.12