Medicaid Provider Spending

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

WISE CLINICAL CARE ASSOCIATES

NPI: 1679719801 · BRIDGEPORT, TX 76426 · Addiction (Substance Use Disorder) Counselor · NPI assigned 12/17/2008

$969K
Total Medicaid Paid
42,243
Total Claims
34,326
Beneficiaries
51
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialSCOGGINS, BRIAN (CFO)
NPI Enumeration Date12/17/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 115 $6.42
2019 26 $95.02
2020 3,724 $54K
2021 13,424 $246K
2022 12,755 $317K
2023 12,199 $352K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,345 10,702 $539K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,473 1,162 $79K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,006 994 $69K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 943 938 $69K
90460 Immunization administration through 18 years of age via any route, first or only component 5,171 2,226 $50K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 320 316 $34K
90837 Psychotherapy, 53 minutes with patient 441 254 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,326 2,314 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 351 338 $14K
81002 4,091 3,067 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 820 404 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 380 357 $10K
90461 1,490 1,289 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 80 79 $6K
17110 64 51 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 374 363 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 38 $3K
81003 1,795 1,165 $3K
99215 Prolong outpt/office vis 34 30 $3K
99381 44 43 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $2K
87807 130 129 $1K
99205 Prolong outpt/office vis 12 12 $1K
81025 179 171 $1K
90791 Psychiatric diagnostic evaluation 15 14 $773.44
99460 28 28 $723.24
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $396.85
99462 27 27 $315.22
99233 Prolong inpt eval add15 m 26 12 $95.02
90686 424 422 $17.52
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 85 66 $6.42
90677 26 26 $0.17
90697 67 67 $0.14
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 424 392 $0.05
90670 761 758 $0.01
90698 552 552 $0.00
1036F 1,615 1,493 $0.00
90744 104 104 $0.00
90680 435 431 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 107 102 $0.00
96127 60 59 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 29 29 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,880 1,734 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 111 107 $0.00
96160 57 56 $0.00
90633 99 99 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,226 1,131 $0.00
90710 57 56 $0.00
1090F 42 42 $0.00
G9357 Post-partum screenings, evaluations and education performed 27 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15 14 $0.00