Medicaid Provider Spending

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

FAITH & FAMILY CARE CLINIC PLLC

NPI: 1639839392 · WAYNESBORO, TN 38485 · Family Medicine Physician · NPI assigned 12/22/2021

$118K
Total Medicaid Paid
6,330
Total Claims
5,085
Beneficiaries
12
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATER, DONNA (OFFICE MANAGER)
NPI Enumeration Date12/22/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,460 $15K
2023 2,724 $54K
2024 2,146 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,311 1,873 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,442 1,161 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 857 662 $7K
99442 333 260 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 56 52 $2K
86328 47 43 $919.07
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 14 $693.34
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 100 40 $475.66
J1200 Injection, diphenhydramine hcl, up to 50 mg 320 270 $185.11
36415 Collection of venous blood by venipuncture 155 140 $183.34
J0696 Injection, ceftriaxone sodium, per 250 mg 154 130 $174.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 540 440 $146.75