Medicaid Provider Spending

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

SOUTHERN GRACE HEALTHCARE INC.

NPI: 1679243653 · ASHDOWN, AR 71822 · Family Nurse Practitioner · NPI assigned 09/20/2021

$54K
Total Medicaid Paid
2,074
Total Claims
1,689
Beneficiaries
9
Codes Billed
2021-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDAVIS, ALEXANDRIA (OWNER)
NPI Enumeration Date09/20/2021

Related Entities

Other providers sharing the same authorized official: DAVIS, ALEXANDRIA

ProviderCityStateTotal Paid
MILESTONE, LLC VIRGINIA BEACH VA $11.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $578.62
2022 460 $14K
2023 1,001 $23K
2024 600 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,342 1,093 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 281 191 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 82 72 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 99 87 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 55 41 $2K
80305 123 115 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 40 40 $863.51
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $578.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 38 $463.32