Medicaid Provider Spending

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

INDIANOLA CLINIC, LLC

NPI: 1679673917 · LELAND, MS 38756 · Rural Health Clinic/Center · NPI assigned 09/25/2006

$3.11M
Total Medicaid Paid
40,214
Total Claims
31,141
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCINTIRE, AMY (CREDENTIALING)
Parent OrganizationINDIANOLA CLINIC, LLC
NPI Enumeration Date09/25/2006

Related Entities

Other providers sharing the same authorized official: MCINTIRE, AMY

ProviderCityStateTotal Paid
INDIANOLA CLINIC, LLC LELAND MS $219K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,812 $403K
2019 6,018 $468K
2020 5,815 $504K
2021 6,966 $623K
2022 8,012 $592K
2023 5,098 $439K
2024 1,493 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,435 10,160 $1.24M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,971 11,050 $1.11M
90834 Psychotherapy, 45 minutes with patient 5,270 3,381 $512K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 746 632 $66K
90792 Psychiatric diagnostic evaluation with medical services 369 356 $44K
99201 422 373 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 194 168 $16K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 755 476 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 157 103 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 781 690 $8K
90791 Psychiatric diagnostic evaluation 111 78 $8K
90785 1,292 720 $8K
99382 55 49 $4K
36415 Collection of venous blood by venipuncture 2,132 1,644 $4K
81025 276 239 $3K
83036 Hemoglobin; glycosylated (A1C) 139 121 $2K
99215 Prolong outpt/office vis 58 37 $2K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 84 71 $2K
80061 Lipid panel 55 50 $380.52
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 74 67 $380.52
81003 43 39 $270.86
99205 Prolong outpt/office vis 34 14 $140.53
90756 56 47 $128.74
36416 14 12 $126.84
J1030 Injection, methylprednisolone acetate, 40 mg 126 105 $2.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg 318 264 $0.20
J1040 Injection, methylprednisolone acetate, 80 mg 42 39 $0.00
92551 16 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 88 65 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 14 14 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 34 14 $0.00
90686 27 26 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 26 25 $0.00