Medicaid Provider Spending

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

FIVE STAR DIAGNOSTICS LLC

NPI: 1558894576 · MAYLENE, AL 35114 · Early Intervention Provider Agency · NPI assigned 04/06/2017

$226K
Total Medicaid Paid
3,790
Total Claims
3,783
Beneficiary Records
16
Codes Billed
2018-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHANNON, CEDRIC (OWNER/CEO)
NPI Enumeration Date04/06/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $12K
2019 116 $3K
2020 89 $2K
2021 575 $35K
2022 591 $36K
2023 1,694 $114K
2024 553 $24K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
R0070 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen 709 708 $147K
92250 602 599 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 875 875 $15K
99382 104 103 $9K
83036 Hemoglobin; glycosylated (A1C) 707 707 $6K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 490 488 $5K
99383 36 36 $3K
99384 27 27 $3K
82043 14 14 $88.90
3072F 101 101 $1.01
3044F 35 35 $0.35
3080F 35 35 $0.35
3077F 18 18 $0.17
3074F 13 13 $0.13
3079F 12 12 $0.12
3046F 12 12 $0.12