Medicaid Provider Spending

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

BELMONT MEDICAL CLINIC LLC

NPI: 1619459922 · BELMONT, MS 38827 · Family Medicine Physician · NPI assigned 09/04/2018

$18K
Total Medicaid Paid
1,999
Total Claims
1,187
Beneficiaries
7
Codes Billed
2018-09
First Month
2020-02
Last Month

Provider Details

Authorized OfficialEDMONDSON, HEATHER (PROVIDER/OWNER)
NPI Enumeration Date09/04/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 583 $4K
2019 1,400 $14K
2020 16 $272.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 673 412 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 434 329 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 175 101 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 355 177 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 52 24 $153.34
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 66 19 $145.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 244 125 $18.59