BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
NPI: 1700477015
· PONTOTOC, MS 38863
· 261QR1300X
$131K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
741 |
$45K |
| 2023 |
688 |
$67K |
| 2024 |
272 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,411 |
1,249 |
$114K |
| 99213 |
|
212 |
185 |
$17K |
| 96372 |
|
59 |
40 |
$83.84 |
| J0696 |
Ceftriaxone sodium injection |
19 |
12 |
$0.00 |