Medicaid Provider Spending

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

BEAVERTON FAMILY MEDICINE LLC

NPI: 1578240511 · BEAVERTON, AL 35544 · Family Nurse Practitioner · NPI assigned 06/30/2023

$3K

Total Medicaid Paid

279

Total Claims

Beneficiaries

Codes Billed

2023-09

First Month

2024-11

Last Month

Authorized Official	BUTLER, MICHAEL (PRACTICE MANAGER)
NPI Enumeration Date	06/30/2023

Other providers sharing the same authorized official: BUTLER, MICHAEL

Provider	City	State	Total Paid
LALLIE KEMP MEDICAL CTR	INDEPENDENCE	LA	$13.93M
LALLIE KEMP MEDICAL CTR	INDEPENDENCE	LA	$5.44M
VILLAGE APOTHECARY, INC.	HOT SPRINGS	AR	$111K
COLEMAN BUTLER FT SMITH, LLC	FORT SMITH	AR	$52K
VILLAGE APOTHECARY INC	HOT SPRINGS VILLAGE	AR	$30K
VILLAGE APOTHECARY INC	HOT SPRINGS	AR	$30K
COLEMAN BUTLER FT SMITH LLC	FORT SMITH	AR	$28K
CLINTON BUTLER	CLINTON	AR	$11K
VILLAGE APOTHECARY, INC	TEXARKANA	AR	$0.00
COMPASSIONATE SERVICES, INC	GILBERT	AZ	$0.00

Year	Claims	Total Paid
2023	253	$3K
2024	26	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	95	34	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	81	14	$206.23
J0696	Injection, ceftriaxone sodium, per 250 mg	43	13	$12.75
J1100	Injection, dexamethasone sodium phosphate, 1 mg	34	13	$1.92
3074F		13	12	$0.00
3078F		13	12	$0.00