Medicaid Provider Spending

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

MID-SOUTH CONVENIENT CARE, PLLC

NPI: 1477984508 · RIPLEY, TN 38063 · Family Medicine Physician · NPI assigned 11/27/2013

$585K
Total Medicaid Paid
26,479
Total Claims
21,408
Beneficiaries
38
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSRIVASTAVA, PANKAJ (OWNER)
NPI Enumeration Date11/27/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,906 $330K
2019 8,240 $186K
2020 3,068 $61K
2021 194 $5K
2022 71 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,176 7,602 $306K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,755 1,420 $86K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,533 2,685 $50K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,509 1,064 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,372 673 $15K
99307 794 607 $14K
90832 Psychotherapy, 30 minutes with patient 663 642 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,515 1,352 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 190 173 $11K
99309 Subsequent nursing facility care, per day, low to moderate complexity 239 227 $10K
99308 Subsequent nursing facility care, per day, straightforward 147 129 $5K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 67 63 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 263 227 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 270 207 $4K
99490 Ccm add 20min 174 163 $4K
90791 Psychiatric diagnostic evaluation 122 117 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 78 67 $3K
99318 48 47 $2K
80306 318 222 $2K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 59 51 $2K
99484 83 76 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 876 761 $2K
36415 Collection of venous blood by venipuncture 801 715 $1K
92551 219 184 $1K
99173 260 225 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18 13 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 23 21 $812.59
G0442 Annual alcohol misuse screening, 5 to 15 minutes 81 70 $750.69
90756 34 27 $747.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,076 957 $694.47
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 30 26 $475.85
J1885 Injection, ketorolac tromethamine, per 15 mg 196 165 $340.06
81003 283 241 $320.30
J1030 Injection, methylprednisolone acetate, 40 mg 66 59 $290.52
G0444 Annual depression screening, 5 to 15 minutes 16 13 $177.38
G0008 Administration of influenza virus vaccine 26 26 $74.19
99406 30 25 $73.59
94760 69 66 $1.57