Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Caledonia Community Clinic, LLC

Caledonia Community Clinic, LLC was paid $110K by Medicaid between Jul 2021 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoCALEDONIA COMMUNITY CLINIC, LLC
CALEDONIA, MS 39740
33aNPI1619552130assigned 03/16/2021
28Total paid$110K
24GClaims4,356
24DCodes billed8
24AFirst – last monthJul 2021 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Mississippi

Rank by total paid#131 of 306
Median peer was paid$59K
This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20211,070$15K
20222,280$44K
2023790$36K
2024incomplete216$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 1,821 1,196 $62K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21% 286 258 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7.3% 1,021 718 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5.5% 206 177 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.2% 207 120 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.5% 604 238 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.6% 98 63 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 113 65 $1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHUDSON, LISA (FNP-C)
Same official

Other billing entities under HUDSON, LISA

Full network →
ProviderLocationPaid
Recon Neurology & PsychiatryFayetteville, NC$197K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.