Medicaid Provider Spending

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

MEDICAL SYSTEMS MANAGEMENT LLC

NPI: 1740555267 · RICHLAND, MS 39218 · Clinical Social Worker · NPI assigned 03/16/2012

$8.73M
Total Medicaid Paid
229,673
Total Claims
147,348
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARBLE, EDWIN (PRESIDENT)
NPI Enumeration Date03/16/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 55,807 $2.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 119,243 67,204 $4.57M
99307 49,971 36,505 $1.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,183 7,220 $921K
99309 Subsequent nursing facility care, per day, low to moderate complexity 17,086 12,043 $573K
90832 Psychotherapy, 30 minutes with patient 11,271 5,118 $361K
99347 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 5,826 5,801 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 2,071 1,702 $50K
90792 Psychiatric diagnostic evaluation with medical services 536 506 $22K
90791 Psychiatric diagnostic evaluation 662 641 $21K
99334 530 417 $19K
99304 469 449 $17K
99318 612 579 $16K
99221 312 299 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 62 57 $7K
99341 119 103 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 52 42 $6K
94681 206 202 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 603 328 $4K
99348 97 84 $4K
99335 178 61 $2K
99306 Prolong nursin fac eval 15m 42 39 $2K
99232 Subsequent hospital care, per day, moderate complexity 172 102 $1K
99483 Prolong outpt/office vis 15 15 $829.20
99310 Prolong nursin fac eval 15m 23 22 $618.87
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 447 336 $558.64
99305 20 16 $523.98
99316 14 13 $297.00
94200 208 204 $290.99
80305 886 699 $285.96
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,308 1,013 $145.52
94726 208 204 $65.58
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,073 854 $13.42
J0696 Injection, ceftriaxone sodium, per 250 mg 445 343 $0.00
36415 Collection of venous blood by venipuncture 291 267 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 197 145 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 29 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 346 294 $0.00
1160F 35 32 $0.00
94375 207 203 $0.00
99238 Hospital discharge day management, 30 minutes or less 14 12 $0.00
90756 29 12 $0.00
1159F 35 32 $0.00