LIBERTY MEDICAL CLINIC PC
NPI: 1790812956
· BELLS, TN 38006
· 261QP2300X
$481K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,378 |
$58K |
| 2019 |
3,239 |
$69K |
| 2020 |
3,166 |
$71K |
| 2021 |
3,548 |
$73K |
| 2022 |
3,615 |
$79K |
| 2023 |
3,693 |
$87K |
| 2024 |
1,828 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
7,686 |
5,186 |
$293K |
| 99443 |
|
3,911 |
2,544 |
$123K |
| 96372 |
|
1,583 |
1,052 |
$25K |
| 99309 |
|
1,427 |
1,356 |
$11K |
| 80306 |
|
901 |
756 |
$7K |
| 99214 |
|
2,386 |
984 |
$5K |
| 36415 |
|
1,610 |
1,371 |
$3K |
| 80305 |
|
392 |
341 |
$3K |
| 90471 |
|
275 |
214 |
$3K |
| 90686 |
|
293 |
243 |
$2K |
| 99395 |
|
14 |
14 |
$1K |
| 92552 |
|
69 |
67 |
$1K |
| 90688 |
|
162 |
146 |
$981.79 |
| G0008 |
Admin influenza virus vac |
81 |
80 |
$764.05 |
| G2023 |
Specimen collect covid-19 |
22 |
19 |
$422.28 |
| 99423 |
|
265 |
141 |
$197.28 |
| 90658 |
|
18 |
18 |
$185.65 |
| 87880 |
|
21 |
16 |
$175.91 |
| 87802 |
|
21 |
16 |
$169.12 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
13 |
$101.25 |
| G0444 |
Depression screen annual |
104 |
103 |
$57.29 |
| 96127 |
|
13 |
13 |
$50.74 |
| 99173 |
|
38 |
38 |
$39.64 |
| J0696 |
Ceftriaxone sodium injection |
83 |
70 |
$38.48 |
| 82947 |
|
30 |
16 |
$24.46 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
13 |
$14.70 |
| 82962 |
|
17 |
12 |
$4.94 |
| J1100 |
Dexamethasone sodium phos |
15 |
13 |
$2.22 |