Medicaid Provider Spending

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

NORTH JACKSON PRIMARY CARE

NPI: 1679654339 · STEVENSON, AL 35772 · Family Medicine Physician · NPI assigned 10/18/2006

$221K
Total Medicaid Paid
13,524
Total Claims
11,028
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCALHOUN, RONALD (OWNER)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,213 $35K
2019 2,387 $35K
2020 1,816 $30K
2021 2,293 $32K
2022 1,392 $32K
2023 928 $33K
2024 495 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,428 3,695 $116K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,269 4,155 $101K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 685 528 $2K
90756 121 115 $1K
93000 72 69 $733.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 39 $161.00
G0008 Administration of influenza virus vaccine 66 65 $26.24
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 16 $18.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg 247 184 $10.65
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 15 12 $8.18
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,408 1,157 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 290 269 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 42 41 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 140 128 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 36 33 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 255 236 $0.00
3008F 360 259 $0.00
1125F 15 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 13 $0.00