Medicaid Provider Spending

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

CHATOM PRIMARY CARE PC

NPI: 1730158544 · CHATOM, AL 36518 · Clinic/Center · NPI assigned 03/15/2006

$2.28M
Total Medicaid Paid
78,978
Total Claims
63,606
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDONALD, JAMES (OWNER PRESIDENT)
NPI Enumeration Date03/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,542 $245K
2019 11,810 $268K
2020 9,427 $257K
2021 12,947 $390K
2022 14,066 $427K
2023 13,233 $408K
2024 7,953 $283K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 31,547 24,076 $2.07M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,481 4,862 $64K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 961 749 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,333 1,182 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 650 555 $15K
90670 480 445 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,586 12,087 $11K
90698 216 190 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,563 6,785 $3K
87428 39 33 $2K
90651 35 29 $2K
90680 90 84 $1K
90677 69 55 $1K
87807 76 71 $804.26
90707 29 26 $530.36
90688 61 57 $458.53
90716 17 14 $415.98
90744 39 38 $378.40
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 40 39 $354.70
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,188 1,873 $221.76
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 134 125 $192.93
90633 12 12 $176.55
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 638 552 $131.09
85018 63 56 $129.00
81003 28 28 $80.30
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 351 321 $64.52
99308 Subsequent nursing facility care, per day, straightforward 5,093 4,915 $57.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,641 1,402 $56.01
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 668 543 $13.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 122 85 $3.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg 733 622 $0.33
99490 Ccm add 20min 296 269 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 69 61 $0.00
3078F 650 576 $0.00
99348 79 43 $0.00
3074F 689 613 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 104 55 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 64 54 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 20 12 $0.00
99349 24 12 $0.00