HOMETOWN HEALTHCARE CLINIC LLC
NPI: 1568972495
· SAVANNAH, TN 38372
· 363LF0000X
$174K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
100 |
$2K |
| 2021 |
2,723 |
$55K |
| 2022 |
2,304 |
$44K |
| 2023 |
2,181 |
$39K |
| 2024 |
1,845 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,601 |
2,123 |
$83K |
| 99213 |
|
2,274 |
1,927 |
$61K |
| 96372 |
|
1,332 |
912 |
$11K |
| 87426 |
|
263 |
231 |
$7K |
| 87804 |
|
272 |
237 |
$5K |
| 87635 |
|
56 |
50 |
$2K |
| 87880 |
|
263 |
225 |
$2K |
| 36415 |
|
1,423 |
1,191 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
196 |
169 |
$822.65 |
| 99203 |
|
17 |
12 |
$549.36 |
| 99212 |
|
40 |
29 |
$406.76 |
| 90688 |
|
18 |
18 |
$134.07 |
| 80306 |
|
14 |
13 |
$128.10 |
| J0696 |
Ceftriaxone sodium injection |
94 |
73 |
$106.82 |
| 90471 |
|
14 |
14 |
$69.15 |
| J1100 |
Dexamethasone sodium phos |
231 |
199 |
$63.72 |
| 80305 |
|
15 |
14 |
$47.06 |
| 81002 |
|
14 |
14 |
$14.34 |
| J1885 |
Ketorolac tromethamine inj |
16 |
13 |
$11.43 |