TRI-COUNTY COMMUNITY CLINIC, LLC
NPI: 1811527138
· PORTAGEVILLE, MO 63873
· 363LF0000X
$2.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,732 |
$101K |
| 2021 |
7,756 |
$204K |
| 2022 |
13,276 |
$354K |
| 2023 |
19,792 |
$497K |
| 2024 |
22,708 |
$884K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15,531 |
12,369 |
$735K |
| 95816 |
|
4,561 |
968 |
$561K |
| 90792 |
|
3,127 |
2,747 |
$274K |
| 90833 |
|
8,596 |
6,261 |
$70K |
| 99483 |
Prolong outpt/office vis |
2,155 |
1,572 |
$65K |
| 99458 |
|
6,092 |
5,063 |
$61K |
| 99457 |
|
6,080 |
5,062 |
$44K |
| 96132 |
|
3,094 |
818 |
$44K |
| 99212 |
|
2,312 |
1,926 |
$39K |
| 99454 |
|
6,005 |
4,995 |
$36K |
| 95957 |
|
344 |
286 |
$28K |
| 90837 |
|
188 |
103 |
$20K |
| 96112 |
|
1,440 |
345 |
$17K |
| 90901 |
|
3,798 |
793 |
$16K |
| 99490 |
Ccm add 20min |
1,427 |
1,164 |
$12K |
| 90834 |
|
155 |
142 |
$9K |
| 97129 |
|
1,701 |
386 |
$5K |
| 99213 |
|
159 |
138 |
$4K |
| 99308 |
|
35 |
34 |
$698.70 |
| 99453 |
|
134 |
119 |
$500.48 |
| 96127 |
|
157 |
111 |
$387.11 |
| G0444 |
Depression screen annual |
122 |
110 |
$30.00 |
| 96116 |
|
51 |
30 |
$15.12 |