Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › JACKSON › ULTIMATE HEALTH CLINIC PC

ULTIMATE HEALTH CLINIC PC

NPI: 1669567707 · JACKSON, TN 38301 · 207R00000X

$1.04M
Total Medicaid Paid
128,804
Total Claims
81,235
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,734 $195K
2019 17,094 $142K
2020 13,057 $112K
2021 18,051 $154K
2022 14,429 $144K
2023 18,578 $175K
2024 20,861 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 18,497 11,741 $424K
99213 8,504 5,585 $133K
96372 8,466 5,247 $59K
80305 12,675 8,381 $53K
99233 Prolong inpt eval add15 m 2,813 933 $40K
80307 3,900 2,439 $38K
95816 830 292 $25K
99406 5,879 3,664 $21K
99309 1,742 1,623 $21K
20610 1,057 635 $18K
96112 697 247 $18K
93000 2,609 1,755 $17K
99232 1,720 502 $17K
99223 Prolong inpt eval add15 m 404 307 $14K
99396 232 161 $11K
93975 129 88 $10K
99239 578 435 $9K
87426 588 426 $8K
71046 1,055 698 $8K
82947 7,440 4,645 $7K
92567 1,612 1,096 $6K
99497 238 182 $5K
95957 168 69 $5K
99308 492 473 $4K
G0444 Depression screen annual 1,051 721 $4K
90688 733 464 $4K
90471 780 520 $4K
85025 1,919 1,157 $4K
36415 6,811 4,490 $4K
J7325 Synvisc or synvisc-one 51 12 $4K
99204 125 83 $4K
27369 55 14 $3K
90756 296 193 $3K
99173 1,432 994 $3K
77002 148 54 $3K
77080 170 103 $2K
G2023 Specimen collect covid-19 283 197 $2K
90732 40 28 $2K
81003 4,674 3,068 $2K
Q2035 Afluria vacc, 3 yrs & >, im 352 253 $2K
J1885 Ketorolac tromethamine inj 4,450 2,781 $1K
95923 94 55 $1K
87804 311 128 $1K
80053 1,092 658 $1K
97129 463 150 $990.26
93925 25 15 $935.70
82948 1,625 945 $927.06
82962 1,290 900 $924.88
94010 155 87 $908.66
99407 180 119 $888.59
90686 142 120 $819.60
93978 29 16 $818.35
99215 Prolong outpt/office vis 39 25 $782.50
93922 50 31 $769.58
J3301 Triamcinolone acet inj nos 1,053 688 $750.17
80061 595 381 $714.18
90674 59 50 $708.26
99490 Ccm add 20min 118 111 $703.17
51798 165 112 $658.31
76775 48 28 $646.35
3008F 775 473 $580.00
94375 69 42 $572.39
87880 139 103 $513.81
83036 603 385 $407.85
90658 46 38 $355.56
93923 25 15 $353.46
J1100 Dexamethasone sodium phos 2,667 1,734 $306.45
82043 200 137 $238.59
73560 31 15 $231.74
99217 15 13 $226.97
G0008 Admin influenza virus vac 743 539 $207.77
94640 40 27 $203.83
G0439 Ppps, subseq visit 286 195 $181.05
J0696 Ceftriaxone sodium injection 323 201 $157.68
99487 Ccm add 20min 107 107 $128.33
J1071 Inj testosterone cypionate 215 105 $122.02
96127 70 42 $111.15
95921 25 16 $98.24
3077F 1,026 584 $90.00
3080F 630 364 $70.00
3044F 21 17 $60.00
99307 24 24 $54.50
3078F 756 465 $50.00
3074F 703 439 $50.00
99454 14 14 $48.92
81025 16 12 $47.75
99457 28 27 $44.48
G0136 Adm of pa/n assess 5-15 m 52 26 $42.11
3079F 615 389 $40.02
J2300 Inj nalbuphine hydrochloride 45 25 $34.54
1111F 50 41 $30.00
G0009 Admin pneumococcal vaccine 58 38 $22.65
80048 19 14 $21.96
90901 484 154 $20.66
3075F 219 148 $20.02
J1200 Diphenhydramine hcl injectio 61 33 $4.41
94760 23 12 $3.70
J2001 Lidocaine injection 369 215 $0.11
G8417 Calc bmi abv up param f/u 934 536 $0.02
1160F 519 351 $0.00
G8427 Docrev cur meds by elig clin 152 123 $0.00
1159F 639 424 $0.00
1124F 25 16 $0.00
4274F 22 15 $0.00
M1208 Pt no scrn sdoh 198 146 $0.00
1125F 603 403 $0.00
1123F 209 149 $0.00
1170F 454 313 $0.00
G0506 Comp asses care plan ccm svc 111 70 $0.00
G8952 Pre-htn/htn, no f/u, not gvn 67 52 $0.00
3048F 51 34 $0.00