Medicaid Provider Spending

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

121 MEDICAL PLACE, INC

NPI: 1588106553 · MENDENHALL, MS 39114 · Community Health Clinic/Center · NPI assigned 11/08/2016

$515K
Total Medicaid Paid
13,267
Total Claims
10,718
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEACH, SHELLEY (PRESIDENT)
NPI Enumeration Date11/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,385 $80K
2019 2,392 $84K
2020 1,765 $64K
2021 2,232 $82K
2022 2,520 $90K
2023 1,266 $73K
2024 707 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,259 5,690 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,135 1,851 $138K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 469 416 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,792 1,432 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 176 157 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 418 295 $6K
95923 51 47 $3K
93922 51 47 $2K
95921 51 47 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 52 44 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $922.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 57 50 $565.31
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 61 29 $532.30
36415 Collection of venous blood by venipuncture 144 122 $404.03
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 12 12 $402.24
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 32 $381.78
90686 47 43 $179.29
90688 17 13 $93.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg 346 310 $81.50
81025 13 12 $79.52
J0696 Injection, ceftriaxone sodium, per 250 mg 49 42 $68.38
81003 16 15 $18.86