Medicaid Provider Spending

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

CLEVELAND CHILDREN'S CLINIC, PLLC

NPI: 1780460642 · GREENVILLE, MS 38703 · Pediatrics Physician · NPI assigned 09/06/2023

$5K
Total Medicaid Paid
68
Total Claims
68
Beneficiaries
3
Codes Billed
2024-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBREVIL, JOSE (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/06/2023

Related Entities

Other providers sharing the same authorized official: BREVIL, JOSE

ProviderCityStateTotal Paid
CLEVELAND CHILDREN'S CLINIC, PLLC CLEVELAND MS $1.89M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 68 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39 39 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $585.06