Medicaid Provider Spending

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

COOSA FAMILY CARE LLC

NPI: 1578113221 · RAINBOW CITY, AL 35906 · Primary Care Clinic/Center · NPI assigned 09/15/2019

$698K
Total Medicaid Paid
9,088
Total Claims
7,742
Beneficiaries
17
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLDER, KRISTOPHER (OWNER/MANAGER)
NPI Enumeration Date09/15/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $311.60
2020 42 $318.80
2021 183 $3K
2022 478 $24K
2023 1,124 $30K
2024 7,245 $641K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,908 1,551 $262K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,262 1,165 $218K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,852 1,384 $114K
87581 1,402 1,312 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 677 478 $23K
87631 225 217 $14K
87640 398 381 $8K
87498 336 326 $7K
86684 336 327 $6K
86615 336 326 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 111 107 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 27 26 $1K
87486 58 54 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $311.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 101 44 $262.73
J0696 Injection, ceftriaxone sodium, per 250 mg 20 14 $29.31
36415 Collection of venous blood by venipuncture 23 14 $22.40