STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

NPI: 1528495454 · GRENADA, MS 38901 · Rural Health Clinic/Center · NPI assigned 10/10/2013

$37K

Total Medicaid Paid

906

Total Claims

776

Beneficiaries

Codes Billed

2018-01

First Month

2022-06

Last Month

Provider Details

Authorized Official	GRIMSLEY, JEFFREY (ASST. CFO)
Parent Organization	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI Enumeration Date	10/10/2013

Other providers sharing the same authorized official: GRIMSLEY, JEFFREY

Provider	City	State	Total Paid
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	JACKSON	MS	$506.72M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	CANTON	MS	$13.96M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	LEXINGTON	MS	$7.52M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	LEXINGTON	MS	$1.07M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	JACKSON	MS	$597K
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	LEXINGTON	MS	$507K
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	VAIDEN	MS	$137K
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	JACKSON	MS	$82K
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	WEST	MS	$11K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	354	310	$20K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	69	56	$5K
99441		224	175	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	73	69	$4K
99201		64	62	$2K
99442		56	42	$726.65
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19	15	$580.97
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	26	26	$308.33
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	21	21	$216.54