Medicaid Provider Spending

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

FAMILY CLINIC AT THE LAKE PLLC

NPI: 1578125647 · COUNCE, TN 38326 · Nurse Practitioner · NPI assigned 06/28/2019

$276K
Total Medicaid Paid
12,600
Total Claims
9,043
Beneficiaries
12
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, ELLANIKOLE (OWNER)
NPI Enumeration Date06/28/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 94 $0.81
2020 2,209 $45K
2021 2,211 $42K
2022 2,237 $52K
2023 3,499 $77K
2024 2,350 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,769 6,212 $230K
99443 465 390 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,550 958 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 301 241 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 29 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 156 129 $892.77
36415 Collection of venous blood by venipuncture 821 678 $851.32
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 70 60 $690.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $126.55
J0696 Injection, ceftriaxone sodium, per 250 mg 80 70 $95.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 137 108 $62.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg 196 156 $56.68