Medicaid Provider Spending

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

MAIN STREET FAMILY MEDICINE, LLC

NPI: 1528097433 · WHITESVILLE, KY 42378 · Physician Assistant · NPI assigned 07/02/2006

$188K
Total Medicaid Paid
13,890
Total Claims
11,886
Beneficiary Records
37
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGLENN-BIRKHEAD, CYNTHIA (OWNER)
NPI Enumeration Date07/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,359 $47K
2019 843 $22K
2020 1,145 $22K
2021 4,268 $55K
2022 3,515 $25K
2023 1,668 $14K
2024 92 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,649 3,912 $124K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 816 687 $30K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 59 48 $20K
99407 163 130 $3K
90658 176 176 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 133 133 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23 20 $1K
99336 91 60 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $983.06
90460 Immunization administration through 18 years of age via any route, first or only component 33 33 $439.61
99337 34 30 $396.41
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 17 $389.28
90686 16 16 $218.36
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 14 $186.69
99406 21 13 $75.17
36415 Collection of venous blood by venipuncture 19 15 $66.87
1159F 1,667 1,429 $0.00
3078F 899 789 $0.00
1160F 1,668 1,430 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 341 269 $0.00
3077F 15 12 $0.00
G8482 Influenza immunization administered or previously received 42 38 $0.00
4004F 17 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 32 28 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 44 39 $0.00
4013F 31 26 $0.00
3008F 1,348 1,176 $0.00
3079F 211 183 $0.00
1036F 45 42 $0.00
3074F 847 743 $0.00
1126F 45 42 $0.00
1125F 12 12 $0.00
3075F 170 150 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 52 48 $0.00
90674 48 43 $0.00
G0008 Administration of influenza virus vaccine 47 42 $0.00