Medicaid Provider Spending

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

SOUTHSIDE SENIOR CARE LLC

NPI: 1497927115 · JOHNSON CITY, TN 37604 · 152W00000X

$31K
Total Medicaid Paid
3,358
Total Claims
2,921
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,129 $10K
2019 1,853 $15K
2020 376 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 1,139 1,002 $16K
92014 2,050 1,772 $15K
92250 92 82 $484.22
92015 20 17 $32.78
V2203 Lens sphcyl bifocal 4.00d/.1 18 15 $0.00
92341 19 16 $0.00
V2020 Vision svcs frames purchases 20 17 $0.00