Medicaid Provider Spending

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

CLARK FAMILY CLINIC, LLC

NPI: 1801391719 · BOLIVAR, TN 38008 · Primary Care Clinic/Center · NPI assigned 03/24/2018

$21K
Total Medicaid Paid
1,016
Total Claims
682
Beneficiaries
10
Codes Billed
2018-07
First Month
2019-05
Last Month

Provider Details

Authorized OfficialCLARK, CHARLENE (FAMILY NURSE PRACITITIONER)
NPI Enumeration Date03/24/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 397 $5K
2019 619 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 508 338 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 144 107 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 81 60 $901.44
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 13 $667.58
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20 15 $654.19
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 99 59 $552.27
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22 13 $236.40
81002 14 12 $27.47
36415 Collection of venous blood by venipuncture 18 15 $23.45
99000 92 50 $0.00