Medicaid Provider Spending

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

PONTOTOC HEALTH SERVICES, INC.

NPI: 1538576772 · PONTOTOC, MS 38863 · Rural Health Clinic/Center · NPI assigned 07/21/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TOPPIN, BRUCE controls 20+ related entities in our dataset. Read more

$835K
Total Medicaid Paid
22,198
Total Claims
19,920
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOPPIN, BRUCE (CORPORATE SECRETARY)
NPI Enumeration Date07/21/2014

Related Entities

Other providers sharing the same authorized official: TOPPIN, BRUCE

ProviderCityStateTotal Paid
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $117.67M
NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS $16.92M
MONROE HEALTH SERVICES, INC. AMORY MS $16.44M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $16.13M
PONTOTOC HEALTH SERVICES, INC. PONTOTOC MS $11.55M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $7.71M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $7.30M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $6.05M
MARION REGIONAL MEDICAL CENTER, INC. HAMILTON AL $5.48M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $2.95M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.84M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.53M
NORTH MISSISSIPPI MEDICAL CENTER INC. SALTILLO MS $1.48M
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $1.25M
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC TUPELO MS $1.14M
NORTH MISSISSIPPI MEDICAL CENTER, INC TUPELO MS $995K
NORTH MISSISSIPPI EMERGENCY SERVICES, INC. TUPELO MS $958K
PONTOTOC HEALTH SERVICES, INC. NEW ALBANY MS $912K
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $799K
NORTH MISSISSIPPI MEDICAL CENTER TUPELO MS $798K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,038 $174K
2019 4,025 $142K
2020 2,648 $93K
2021 2,660 $137K
2022 3,668 $127K
2023 2,184 $96K
2024 1,975 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,247 4,512 $385K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,643 5,955 $307K
99308 Subsequent nursing facility care, per day, straightforward 3,536 3,341 $77K
99307 3,495 3,404 $44K
99309 Subsequent nursing facility care, per day, low to moderate complexity 341 329 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 218 205 $7K
36415 Collection of venous blood by venipuncture 1,282 1,204 $3K
99318 57 56 $2K
99495 13 12 $513.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 16 $270.40
99406 13 13 $80.00
3078F 137 93 $24.29
99497 37 37 $0.00
4004F 51 26 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 51 46 $0.00
1159F 117 58 $0.00
3288F 247 182 $0.00
1160F 117 58 $0.00
3008F 254 187 $0.00
3074F 117 85 $0.00
4010F 69 30 $0.00
3079F 28 15 $0.00
3075F 48 27 $0.00
1125F 45 17 $0.00
1126F 19 12 $0.00