Medicaid Provider Spending

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

JACKSONBRACEY HEALTH CARE

NPI: 1740742329 · PEARL, MS 39208 · Family Nurse Practitioner · NPI assigned 04/03/2019

$5K
Total Medicaid Paid
271
Total Claims
179
Beneficiaries
5
Codes Billed
2019-05
First Month
2019-10
Last Month

Provider Details

Authorized OfficialLILES, KRISTEN (OFFICE STAFF)
NPI Enumeration Date04/03/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 271 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 121 80 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 63 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 12 $139.73
92551 27 12 $8.24
99173 27 12 $1.89