Medicaid Provider Spending

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

SPRING RIVER CLINIC, LLC

NPI: 1598356982 · IMBODEN, AR 72434 · Internal Medicine Physician · NPI assigned 01/29/2021

$33K
Total Medicaid Paid
1,126
Total Claims
755
Beneficiaries
3
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOON, JEFFERYDON (MANAGER)
NPI Enumeration Date01/29/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 141 $3K
2022 479 $9K
2023 270 $10K
2024 236 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 818 502 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 287 241 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21 12 $652.29