Medicaid Provider Spending

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

HOLLY SPRINGS FAMILY MEDICAL LLC

NPI: 1518692342 · HOLLY SPRINGS, MS 38635 · Family Medicine Physician · NPI assigned 07/17/2022

$78K
Total Medicaid Paid
2,162
Total Claims
1,972
Beneficiaries
8
Codes Billed
2022-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, JERRY (OWNER)
NPI Enumeration Date07/17/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 102 $2K
2023 1,258 $40K
2024 802 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,447 1,295 $75K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 148 141 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $681.16
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $671.11
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $357.34
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 17 $190.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $6.66
A4208 Syringe with needle, sterile 3 cc, each 488 457 $0.00