Medicaid Provider Spending

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

DELTA MEDICAL FOUNDATION

NPI: 1508363060 · CLARKSDALE, MS 38614 · Rural Health Clinic/Center · NPI assigned 04/11/2018

$2.25M
Total Medicaid Paid
67,110
Total Claims
53,546
Beneficiaries
28
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOORE, LONNIE (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/11/2018

Related Entities

Other providers sharing the same authorized official: MOORE, LONNIE

ProviderCityStateTotal Paid
DELTA MEDICAL FOUNDATION MARKS MS $2.17M
DELTA MEDICAL FOUNDATION CLARKSDALE MS $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87 $4K
2019 2,633 $47K
2020 2,041 $44K
2021 10,091 $278K
2022 23,896 $715K
2023 18,822 $665K
2024 9,540 $503K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,342 27,193 $2.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 858 743 $51K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 1,865 1,765 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,888 5,605 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 418 327 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,433 5,301 $1K
36415 Collection of venous blood by venipuncture 1,136 845 $368.41
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,494 1,452 $169.14
90688 77 40 $110.79
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,195 2,582 $41.73
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,113 2,567 $11.51
J0696 Injection, ceftriaxone sodium, per 250 mg 2,711 2,204 $2.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 678 570 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 473 351 $0.00
90686 15 13 $0.00
81000 844 662 $0.00
84703 106 81 $0.00
90733 14 14 $0.00
90619 60 51 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 55 38 $0.00
90656 13 13 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 585 491 $0.00
87420 76 63 $0.00
90715 70 61 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 180 152 $0.00
90649 89 78 $0.00
90472 Immunization administration, each additional vaccine (list separately) 300 267 $0.00
90633 22 17 $0.00