Medicaid Provider Spending

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

CHOCTAW REGIONAL MEDICAL CENTER

NPI: 1538555347 · LOUISVILLE, MS 39339 · Family Medicine Physician · NPI assigned 04/08/2015

$1.61M
Total Medicaid Paid
35,540
Total Claims
29,781
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLLINGSWORTH WELLS, SUSAN (ADMINISTRATOR)
NPI Enumeration Date04/08/2015

Related Entities

Other providers sharing the same authorized official: HOLLINGSWORTH WELLS, SUSAN

ProviderCityStateTotal Paid
CHOCTAW REGIONAL MEDICAL CENTER ACKERMAN MS $4.94M
CHOCTAW REGIONAL MEDICAL CENTER ACKERMAN MS $1.16M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,866 $357K
2019 6,385 $341K
2020 4,700 $256K
2021 4,507 $234K
2022 4,448 $201K
2023 4,899 $142K
2024 2,735 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,786 10,400 $928K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,776 4,001 $300K
99308 Subsequent nursing facility care, per day, straightforward 8,398 7,417 $171K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,818 1,503 $68K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,852 1,398 $50K
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 2,087 1,713 $31K
99335 1,034 986 $24K
99051 1,345 1,232 $23K
92551 180 165 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 25 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 33 29 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 27 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 19 19 $2K
99318 70 70 $1K
99490 Ccm add 20min 269 205 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 168 125 $1K
87430 53 25 $329.26
99173 86 75 $173.64
80061 Lipid panel 15 12 $152.90
90686 15 13 $142.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 43 $142.04
36415 Collection of venous blood by venipuncture 29 26 $68.90
99348 46 31 $61.79
3074F 202 138 $0.00
3078F 129 88 $0.00
99401 15 15 $0.00