Medicaid Provider Spending

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

DELTA MEDICAL FOUNDATION

NPI: 1467949941 · CLARKSDALE, MS 38614 · Rural Health Clinic/Center · NPI assigned 04/19/2018

$1.20M
Total Medicaid Paid
78,125
Total Claims
46,491
Beneficiaries
40
Codes Billed
2019-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMOORE, LONNIE (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/19/2018

Related Entities

Other providers sharing the same authorized official: MOORE, LONNIE

ProviderCityStateTotal Paid
DELTA MEDICAL FOUNDATION CLARKSDALE MS $2.25M
DELTA MEDICAL FOUNDATION MARKS MS $2.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 40,991 $411K
2020 24,814 $509K
2021 11,721 $273K
2024 599 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,119 17,299 $932K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,784 9,923 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 849 540 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,621 1,590 $44K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,362 1,298 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,881 2,945 $26K
36415 Collection of venous blood by venipuncture 11,962 6,831 $14K
99310 Prolong nursin fac eval 15m 379 367 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 162 137 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,076 551 $5K
90472 Immunization administration, each additional vaccine (list separately) 464 244 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 172 60 $4K
99490 Ccm add 20min 342 332 $4K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 304 120 $3K
99318 46 44 $2K
81000 1,208 695 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,127 1,184 $2K
96521 120 39 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 323 178 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18 15 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,767 1,199 $919.13
99308 Subsequent nursing facility care, per day, straightforward 29 23 $878.44
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 120 39 $790.62
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 33 30 $654.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 79 35 $471.14
90686 102 60 $367.76
87510 52 15 $282.93
87480 52 15 $282.93
87660 52 15 $282.93
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 118 39 $258.68
90688 35 16 $231.92
84703 17 12 $82.72
J1020 Injection, methylprednisolone acetate, 20 mg 76 28 $47.58
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 119 39 $42.33
99439 31 28 $7.23
90733 309 146 $0.00
90715 196 85 $0.00
90649 356 172 $0.00
90658 86 33 $0.00
90633 177 70 $0.00