Medicaid Provider Spending

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

LITTLE ROCK DIAGNOSTIC CLINIC PA

NPI: 1497784854 · LITTLE ROCK, AR 72205 · Internal Medicine Physician · NPI assigned 06/30/2006

$56K
Total Medicaid Paid
5,033
Total Claims
4,000
Beneficiaries
32
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialJACKSON, LAURA (QUALITY MANAGER)
NPI Enumeration Date06/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,033 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,300 1,055 $27K
99232 Subsequent hospital care, per day, moderate complexity 418 138 $9K
99233 Prolong inpt eval add15 m 157 76 $5K
99223 Prolong inpt eval add15 m 54 47 $4K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 75 56 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 130 61 $2K
99222 Initial hospital care, per day, moderate complexity 37 34 $2K
94010 98 88 $939.00
99221 12 12 $496.74
84443 Thyroid stimulating hormone (TSH) 204 181 $466.03
86160 100 83 $445.64
85025 Blood count; complete (CBC), automated, and automated differential WBC count 298 256 $432.82
80053 Comprehensive metabolic panel 182 162 $347.30
84481 107 87 $338.66
83036 Hemoglobin; glycosylated (A1C) 177 146 $305.14
80076 191 171 $268.41
82565 210 185 $196.29
86140 189 167 $192.14
80061 Lipid panel 96 83 $176.75
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 43 37 $174.64
84439 103 86 $167.44
86225 35 29 $126.67
85652 206 184 $107.80
71046 Radiologic examination, chest; 2 views 15 12 $61.11
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 17 $54.72
94727 18 13 $47.85
80048 Basic metabolic panel (calcium, ionized) 34 32 $36.27
81001 15 12 $18.08
36415 Collection of venous blood by venipuncture 437 428 $12.00
94729 19 14 $10.60
84479 27 24 $9.25
84436 27 24 $8.90