ST DOMINIC MEDICAL ASSOCIATES LLC
NPI: 1548698608
· BRANDON, MS 39042
· 207Q00000X
$134K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
500 |
$33K |
| 2019 |
828 |
$47K |
| 2020 |
395 |
$23K |
| 2021 |
311 |
$17K |
| 2022 |
128 |
$9K |
| 2023 |
56 |
$3K |
| 2024 |
57 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,742 |
1,524 |
$123K |
| 99213 |
|
117 |
109 |
$6K |
| 87804 |
|
218 |
101 |
$3K |
| 99203 |
|
16 |
12 |
$929.47 |
| 96372 |
|
72 |
59 |
$840.40 |
| 99442 |
|
17 |
16 |
$499.08 |
| 87426 |
|
23 |
12 |
$450.20 |
| J0696 |
Ceftriaxone sodium injection |
45 |
38 |
$81.81 |
| 36415 |
|
25 |
25 |
$51.78 |