Medicaid Provider Spending

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

APPALACHIAN HEALTH CARE, INC

NPI: 1558728931 · JOHNSON CITY, TN 37604 · Family Nurse Practitioner · NPI assigned 01/15/2016

$387K
Total Medicaid Paid
34,233
Total Claims
23,594
Beneficiaries
38
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLEVER, WILLIAM (FAMILY NURSE PRACTIONER)
NPI Enumeration Date01/15/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 4,101 $55K
2023 15,303 $193K
2024 14,829 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,513 7,397 $302K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,952 1,218 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,055 1,203 $16K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 364 231 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 375 273 $6K
87501 167 108 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 29 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 138 57 $802.62
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 63 55 $760.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 326 148 $508.54
90686 110 49 $444.24
99406 87 76 $367.88
81002 309 264 $363.90
3079F 1,554 1,372 $250.00
3078F 2,719 2,325 $212.33
87081 74 44 $195.29
99497 275 99 $181.47
3077F 841 760 $172.34
J1885 Injection, ketorolac tromethamine, per 15 mg 407 268 $160.33
3074F 2,759 2,355 $160.00
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) 52 37 $122.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 931 528 $121.66
3075F 943 858 $120.00
94010 21 14 $114.08
3080F 306 285 $91.53
G0008 Administration of influenza virus vaccine 37 14 $57.71
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 13 $45.09
99490 Ccm add 20min 76 75 $37.34
93000 16 13 $30.52
G0444 Annual depression screening, 5 to 15 minutes 19 15 $30.50
3008F 3,209 2,690 $0.00
1125F 237 80 $0.00
3044F 160 144 $0.00
1170F 299 128 $0.00
1126F 15 14 $0.00
1160F 351 170 $0.00
1159F 336 158 $0.00
99397 79 27 $0.00