Medicaid Provider Spending

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

JOHNSTON COUNTY PUBLIC HEALTH DEPARTMENT

NPI: 1528157211 · SMITHFIELD, NC 27577 · Primary Care Clinic/Center · NPI assigned 10/12/2006

$7.88M
Total Medicaid Paid
933,221
Total Claims
792,564
Beneficiaries
148
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, TANYA (INFORMATION PROCESSING TECH)
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: SMITH, TANYA

ProviderCityStateTotal Paid
COUNTY OF JOHNSTON NORTH CAROLINA SMITHFIELD NC $774K
CARROLL FAMILY HEALTHCARE MALVERN OH $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,788 $447K
2019 18,144 $443K
2020 14,565 $375K
2021 83,618 $1.04M
2022 242,597 $1.85M
2023 267,668 $1.81M
2024 284,841 $1.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 755,658 652,329 $4.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,886 19,389 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,941 9,540 $1.02M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10,363 7,486 $171K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,990 10,175 $156K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,597 1,331 $121K
90472 Immunization administration, each additional vaccine (list separately) 4,437 3,624 $108K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 965 824 $86K
90834 Psychotherapy, 45 minutes with patient 1,764 1,321 $71K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 650 541 $54K
99401 2,422 1,989 $54K
99443 1,703 1,629 $51K
92587 6,666 5,097 $45K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,451 1,264 $37K
0001A 717 536 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,335 2,739 $32K
99205 Prolong outpt/office vis 200 164 $31K
0002A 678 472 $31K
87428 568 479 $30K
83036 Hemoglobin; glycosylated (A1C) 3,424 2,879 $29K
D0145 Oral evaluation for a patient under three years of age 1,147 941 $27K
96127 6,111 4,581 $26K
90791 Psychiatric diagnostic evaluation 211 180 $23K
0071A 367 235 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,573 1,254 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 177 152 $16K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 85 70 $15K
0072A 284 190 $14K
90686 5,000 3,910 $13K
T1002 Rn services, up to 15 minutes 334 193 $13K
D1206 Topical application of fluoride varnish 1,151 942 $12K
0054A 239 167 $11K
99406 1,166 868 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 90 89 $11K
99215 Prolong outpt/office vis 78 63 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,228 1,860 $11K
36415 Collection of venous blood by venipuncture 4,320 3,326 $10K
81003 5,245 4,084 $10K
90832 Psychotherapy, 30 minutes with patient 238 189 $9K
90651 249 218 $8K
90715 1,075 818 $8K
80061 Lipid panel 590 449 $7K
90734 799 569 $7K
0012A 151 139 $6K
0124A 189 80 $6K
90480 157 108 $5K
92567 562 492 $5K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 81 80 $5K
90716 218 171 $5K
99442 94 69 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 504 391 $4K
0011A 181 171 $4K
91322 79 56 $4K
0052A 99 54 $4K
0064A 59 47 $3K
82947 1,350 1,055 $3K
99441 73 66 $3K
85018 1,578 1,387 $3K
G9919 Screening performed and positive and provision of recommendations 724 503 $3K
94760 6,084 4,673 $2K
80305 158 131 $2K
92551 1,167 976 $2K
0004A 42 27 $2K
0051A 29 24 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 138 121 $2K
0074A 46 24 $2K
81025 234 197 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 138 79 $1K
90620 57 37 $1K
0031A 23 21 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 85 68 $1K
90619 757 648 $1K
90837 Psychotherapy, 53 minutes with patient 14 13 $1K
90474 52 51 $989.85
83655 141 131 $929.20
0144A 17 14 $898.00
96161 910 784 $888.51
86480 232 190 $842.74
90707 114 87 $802.06
0134A 19 16 $715.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 801 680 $653.09
90656 47 36 $515.09
92588 72 54 $497.60
86762 271 225 $496.80
94150 39 27 $444.66
98968 19 17 $436.96
91312 187 78 $410.65
91300 1,462 954 $231.20
96160 429 342 $225.23
90713 14 14 $196.55
85660 49 44 $189.54
87086 Culture, bacterial; quantitative colony count, urine 426 366 $171.58
90681 53 51 $129.15
91307 810 487 $111.18
86592 822 693 $106.29
92552 22 19 $99.90
99173 1,944 1,568 $59.54
86900 229 204 $49.04
87210 17 15 $38.80
86787 174 149 $28.80
90647 179 174 $28.66
91301 407 342 $25.00
82120 19 15 $19.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count 254 224 $15.90
87341 218 196 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,256 1,627 $0.00
3078F 298 246 $0.00
90633 65 56 $0.00
G9920 Screening performed and negative 821 603 $0.00
LU282 14 12 $0.00
99177 647 578 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,200 5,888 $0.00
90670 502 436 $0.00
SUTSH 63 61 $0.00
90661 198 165 $0.00
3077F 33 31 $0.00
83020 13 12 $0.00
S9470 Nutritional counseling, dietitian visit 60 55 $0.00
90685 21 12 $0.00
91311 68 26 $0.00
90723 268 245 $0.00
3351F 450 350 $0.00
99174 2,672 2,186 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 976 718 $0.00
3008F 775 673 $0.00
86850 238 210 $0.00
86901 230 201 $0.00
92558 1,279 1,116 $0.00
86803 26 26 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 2,225 1,567 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,929 1,408 $0.00
1000F 552 454 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 584 459 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 1,298 941 $0.00
36416 641 541 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,780 1,345 $0.00
3074F 213 178 $0.00
90677 31 29 $0.00
91305 576 359 $0.00
91306 59 47 $0.00
3079F 69 61 $0.00
B00K1 303 246 $0.00
4010F 15 13 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14 13 $0.00
91314 17 14 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 12 12 $0.00
91303 23 21 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 12 $0.00