Medicaid Provider Spending

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

COMMUNITY MEDICINE FOUNDATION

NPI: 1528004918 · ROCK HILL, SC 29730 · Federally Qualified Health Center (FQHC) · NPI assigned 06/22/2006

$11.34M
Total Medicaid Paid
109,368
Total Claims
100,708
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWN, ERNEST (EXECUTIVE DIRECTOR)
NPI Enumeration Date06/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,893 $1.58M
2019 16,593 $1.71M
2020 13,729 $1.54M
2021 17,743 $1.75M
2022 17,596 $1.49M
2023 16,458 $1.75M
2024 11,356 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,548 25,879 $4.50M
T1015 Clinic visit/encounter, all-inclusive 26,928 23,419 $2.71M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,127 15,155 $2.44M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,412 2,328 $346K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,713 1,700 $281K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,032 2,967 $255K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,458 1,443 $240K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 825 820 $130K
90460 Immunization administration through 18 years of age via any route, first or only component 3,385 3,329 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 632 627 $103K
90837 Psychotherapy, 53 minutes with patient 525 413 $81K
G9153 Mapcp demonstration - physician incentive pool 1,438 1,418 $68K
90682 441 435 $12K
90832 Psychotherapy, 30 minutes with patient 49 45 $10K
88738 2,751 2,713 $7K
92551 1,511 1,490 $5K
81025 2,003 1,936 $5K
81002 3,172 2,551 $5K
80061 Lipid panel 1,017 1,008 $4K
90791 Psychiatric diagnostic evaluation 27 25 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 935 927 $4K
90834 Psychotherapy, 45 minutes with patient 25 24 $4K
83036 Hemoglobin; glycosylated (A1C) 1,056 1,053 $4K
90461 229 225 $3K
87430 271 267 $1K
90671 132 132 $960.32
99051 76 76 $890.97
90677 17 17 $771.75
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 212 184 $628.55
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 75 75 $527.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 210 209 $451.66
82962 404 395 $443.27
90697 16 16 $432.03
99441 18 17 $315.66
87807 99 95 $259.75
90619 12 12 $164.19
90686 1,405 1,360 $70.24
99173 586 581 $21.60
90651 148 143 $0.79
90670 369 368 $0.45
90685 54 54 $0.34
90656 66 66 $0.27
3078F 25 24 $0.16
3080F 12 12 $0.07
3725F 1,255 1,150 $0.02
3008F 2,607 2,477 $0.00
90698 141 140 $0.00
90680 156 155 $0.00
90744 14 14 $0.00
90688 41 41 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 479 471 $0.00
90633 199 198 $0.00
1159F 30 29 $0.00