Medicaid Provider Spending

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

FAMILY MEDICINE OF SOUTHEAST MISSOURI, LLC

NPI: 1619145612 · SIKESTON, MO 63801 · Rural Health Clinic/Center · NPI assigned 02/13/2008

$27K
Total Medicaid Paid
1,370
Total Claims
1,186
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialROBERTS, VICKI (OWNER)
NPI Enumeration Date02/13/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 651 $12K
2019 392 $8K
2020 174 $4K
2021 139 $3K
2022 14 $543.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 851 710 $24K
99490 Ccm add 20min 183 166 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 216 198 $646.91
83036 Hemoglobin; glycosylated (A1C) 33 31 $86.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 13 $3.80
1111F 15 15 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00
G8482 Influenza immunization administered or previously received 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 19 14 $0.00