HERNANDO FAMILY MEDICAL CLINIC, LLC
NPI: 1740350628
· SENATOBIA, MS 38668
· Family Nurse Practitioner
· NPI assigned 11/08/2006
$197K
Total Medicaid Paid
Provider Details
| Authorized Official | WYNN, LISA (BILLING MANAGER) |
| NPI Enumeration Date | 11/08/2006 |
Related Entities
Other providers sharing the same authorized official: WYNN, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,951 |
$52K |
| 2019 |
2,033 |
$42K |
| 2020 |
1,277 |
$28K |
| 2021 |
1,691 |
$34K |
| 2022 |
1,383 |
$19K |
| 2023 |
688 |
$18K |
| 2024 |
151 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,400 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,409 |
1,930 |
$87K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,052 |
2,552 |
$12K |
| 87631 |
|
57 |
46 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,461 |
1,288 |
$2K |
| 99490 |
Ccm add 20min |
177 |
166 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
16 |
$289.94 |
| 81003 |
|
284 |
246 |
$263.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$72.78 |