Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › FORDYCE › BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER

BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER

NPI: 1508364241 · FORDYCE, AR 71742 · Family Medicine Physician · NPI assigned 01/29/2018

$46K
Total Medicaid Paid
1,842
Total Claims
1,376
Beneficiaries
4
Codes Billed
2018-09
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSANDERS, KENNETH (ADMINISTRATOR)
NPI Enumeration Date01/29/2018

Related Entities

Other providers sharing the same authorized official: SANDERS, KENNETH

ProviderCityStateTotal Paid
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER FORDYCE AR $649K
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER FORDYCE AR $258K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 157 $4K
2019 498 $14K
2020 485 $11K
2021 331 $8K
2022 281 $8K
2023 63 $244.40
2024 27 $890.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 782 657 $24K
99307 940 637 $20K
99304 107 70 $2K
36415 Collection of venous blood by venipuncture 13 12 $0.06