DIVERSICARE OF SOUTHAVEN, LLC
NPI: 1801341896
· SOUTHAVEN, MS 38671
· 314000000X
$114K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,248 |
$26K |
| 2019 |
2,935 |
$28K |
| 2020 |
2,586 |
$19K |
| 2021 |
1,845 |
$19K |
| 2022 |
347 |
$2K |
| 2023 |
1,427 |
$12K |
| 2024 |
889 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
4,425 |
482 |
$73K |
| 97530 |
|
7,151 |
801 |
$31K |
| 97112 |
|
1,032 |
179 |
$9K |
| 97140 |
|
62 |
12 |
$459.25 |
| 97162 |
|
19 |
12 |
$332.93 |
| 97116 |
|
126 |
12 |
$25.48 |
| G8981 |
Body pos current status |
50 |
25 |
$0.00 |
| G8982 |
Body pos goal status |
119 |
54 |
$0.00 |
| G0008 |
Admin influenza virus vac |
24 |
24 |
$0.00 |
| 87426 |
|
183 |
85 |
$0.00 |
| 97535 |
|
55 |
17 |
$0.00 |
| 97166 |
|
13 |
13 |
$0.00 |
| 90662 |
|
18 |
18 |
$0.00 |