Medicaid Provider Spending

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

FAMILY FIRST MEDICAL CLINIC

NPI: 1568581213 · PLAQUEMINE, LA 70764 · Family Medicine Physician · NPI assigned 03/27/2007

$210K
Total Medicaid Paid
12,917
Total Claims
6,925
Beneficiaries
22
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialEDWARDS, ANTONIO (OWNER)
NPI Enumeration Date03/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 928 $27K
2019 1,376 $32K
2020 2,184 $31K
2021 1,580 $57K
2022 5,187 $44K
2023 1,662 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,356 4,269 $200K
99233 Prolong inpt eval add15 m 387 84 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 45 28 $2K
99051 117 101 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66 43 $799.52
99223 Prolong inpt eval add15 m 29 28 $699.65
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 12 $695.24
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 26 $564.39
99490 Ccm add 20min 406 259 $339.69
99050 20 16 $70.90
1101F 792 364 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 603 288 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 135 60 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 509 256 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 932 425 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 144 53 $0.00
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 12 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 941 426 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 92 37 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 226 113 $0.00
83037 37 13 $0.00
G8482 Influenza immunization administered or previously received 20 12 $0.00