Medicaid Provider Spending

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

HNMJTS2021 PLLC

NPI: 1508451287 · DEFUNIAK SPRINGS, FL 32435 · Clinic/Center · NPI assigned 03/04/2021

$13K
Total Medicaid Paid
360
Total Claims
285
Beneficiaries
7
Codes Billed
2022-05
First Month
2024-04
Last Month

Provider Details

Authorized OfficialJETER, MICHAEL (OWNER)
NPI Enumeration Date03/04/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 157 $8K
2023 188 $4K
2024 15 $900.05

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 186 164 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $900.05
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 37 33 $594.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 74 33 $444.64
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 16 $394.45
87428 14 12 $344.04
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 13 $79.40