Medicaid Provider Spending

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

SEQUATCHIE VALLEY PRIMARY CARE

NPI: 1518171040 · KIMBALL, TN 37347 · Contractor · NPI assigned 05/10/2007

$43K
Total Medicaid Paid
2,229
Total Claims
1,765
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBOECK, KARIN (PRESIDENT)
NPI Enumeration Date05/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 613 $13K
2019 662 $16K
2020 329 $5K
2021 175 $2K
2022 179 $3K
2023 114 $1K
2024 157 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,039 1,610 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93 75 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 63 52 $76.55
90756 15 12 $73.77
G0008 Administration of influenza virus vaccine 19 16 $12.52