TIDWELL FAMILY VENTURES LLC
NPI: 1518106020
· PORTLAND, TN 37148
· 207Q00000X
$296K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,144 |
$63K |
| 2019 |
2,299 |
$51K |
| 2020 |
1,747 |
$32K |
| 2021 |
2,123 |
$42K |
| 2022 |
2,469 |
$50K |
| 2023 |
1,690 |
$40K |
| 2024 |
630 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,315 |
4,190 |
$169K |
| 99214 |
|
1,869 |
1,581 |
$78K |
| 87804 |
|
1,544 |
660 |
$12K |
| 87428 |
|
217 |
195 |
$12K |
| 87880 |
|
902 |
791 |
$7K |
| 99204 |
|
67 |
60 |
$5K |
| 93000 |
|
416 |
335 |
$4K |
| 99202 |
|
80 |
65 |
$3K |
| 71046 |
|
154 |
124 |
$2K |
| 36415 |
|
1,510 |
1,273 |
$2K |
| 94640 |
|
92 |
76 |
$860.85 |
| J0696 |
Ceftriaxone sodium injection |
418 |
357 |
$823.83 |
| 86308 |
|
210 |
187 |
$718.83 |
| 81002 |
|
504 |
435 |
$717.82 |
| 81025 |
|
20 |
14 |
$67.53 |
| 99000 |
|
757 |
645 |
$3.00 |
| J1100 |
Dexamethasone sodium phos |
27 |
26 |
$2.63 |