Medicaid Provider Spending

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

CALEDONIA COMMUNITY CLINIC, LLC

NPI: 1619552130 · CALEDONIA, MS 39740 · Family Medicine Physician · NPI assigned 03/16/2021

$110K
Total Medicaid Paid
4,356
Total Claims
2,835
Beneficiaries
8
Codes Billed
2021-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHUDSON, LISA (FNP-C)
NPI Enumeration Date03/16/2021

Related Entities

Other providers sharing the same authorized official: HUDSON, LISA

ProviderCityStateTotal Paid
RECON NEUROLOGY & PSYCHIATRY FAYETTEVILLE NC $197K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,070 $15K
2022 2,280 $44K
2023 790 $36K
2024 216 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,821 1,196 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 286 258 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,021 718 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 206 177 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 207 120 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 604 238 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 98 63 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 113 65 $1K