TYLER HOLMES MEMORIAL HOSPITAL
NPI: 1548883481
· NORTH CARROLLTON, MS 38947
· Family Medicine Physician
· NPI assigned 05/27/2020
$144K
Total Medicaid Paid
Provider Details
| Authorized Official | LYONS, MEMORIE (CLINIC DIRECTOR) |
| Parent Organization | TYLER HOLMES MEMORIAL HOSPITAL |
| NPI Enumeration Date | 05/27/2020 |
Related Entities
Other providers sharing the same authorized official: LYONS, MEMORIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
35 |
$691.71 |
| 2021 |
306 |
$10K |
| 2022 |
469 |
$33K |
| 2023 |
753 |
$50K |
| 2024 |
631 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,121 |
1,793 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
29 |
$857.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$646.80 |