Behavioral
Medical Systems Management LLC
Medical Systems Management LLC was paid $8.73M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 52% of everything it billed.
33Billing provider infoMEDICAL SYSTEMS MANAGEMENT LLC
RICHLAND, MS 39218
RICHLAND, MS 39218
33aNPI1740555267assigned 03/16/2012
33bProvider typeClinical Social Worker
28Total paid$8.73M
24GClaims229,673
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Mississippi
Rank by total paid#2 of 89
Median peer was paid$57K
This provider vs. median153×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,503 | $802K | |
| 2019 | 36,492 | $1.28M | |
| 2020 | 32,514 | $1.22M | |
| 2021 | 14,803 | $667K | |
| 2022 | 22,485 | $956K | |
| 2023 | 44,069 | $1.77M | |
| 2024incomplete | 55,807 | $2.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 52% | 119,243 | 67,204 | $4.57M |
| 99307 | 21% | 49,971 | 36,505 | $1.82M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 9,183 | 7,220 | $921K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.6% | 17,086 | 12,043 | $573K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.1% | 11,271 | 5,118 | $361K |
| 99347 | 1.8% | 2,965 | 2,614 | $154K | |
| 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 | <1% | 5,826 | 5,801 | $80K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 558 | 487 | $59K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,071 | 1,702 | $50K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 536 | 506 | $22K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 662 | 641 | $21K |
| 99334 | <1% | 530 | 417 | $19K |
32 more codes
| 99304 | <1% | 469 | $17K | |
| 99318 | <1% | 612 | $16K | |
| 99221 | <1% | 312 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 62 | $7K |
| 99341 | <1% | 119 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $6K |
| 94681 | <1% | 206 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 603 | $4K |
| 99348 | <1% | 97 | $4K | |
| 99335 | <1% | 178 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 42 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 172 | $1K |
| 99483 | Prolong outpt/office vis | <1% | 15 | $829.20 |
| 99310 | Prolong nursin fac eval 15m | <1% | 23 | $618.87 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 447 | $558.64 |
| 99305 | <1% | 20 | $523.98 | |
| 99316 | <1% | 14 | $297.00 | |
| 94200 | <1% | 208 | $290.99 | |
| 80305 | <1% | 886 | $285.96 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,308 | $145.52 |
| 94726 | <1% | 208 | $65.58 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,073 | $13.42 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 445 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 291 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 197 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 46 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 346 | $0.00 |
| 1160F | 0% | 35 | $0.00 | |
| 94375 | 0% | 207 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 14 | $0.00 |
| 90756 | 0% | 29 | $0.00 | |
| 1159F | 0% | 35 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARBLE, EDWIN (PRESIDENT)