Medicaid Provider Spending

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

TRI-COUNTY COMMUNITY CLINIC, LLC

NPI: 1811527138 · PORTAGEVILLE, MO 63873 · Family Nurse Practitioner · NPI assigned 01/26/2020

$2.04M
Total Medicaid Paid
67,264
Total Claims
45,542
Beneficiaries
23
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, LADONNA (OWNER)
NPI Enumeration Date01/26/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,732 $101K
2021 7,756 $204K
2022 13,276 $354K
2023 19,792 $497K
2024 22,708 $884K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,531 12,369 $735K
95816 4,561 968 $561K
90792 Psychiatric diagnostic evaluation with medical services 3,127 2,747 $274K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 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 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,312 1,926 $39K
99454 6,005 4,995 $36K
95957 344 286 $28K
90837 Psychotherapy, 53 minutes with patient 188 103 $20K
96112 1,440 345 $17K
90901 3,798 793 $16K
99490 Ccm add 20min 1,427 1,164 $12K
90834 Psychotherapy, 45 minutes with patient 155 142 $9K
97129 1,701 386 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 159 138 $4K
99308 Subsequent nursing facility care, per day, straightforward 35 34 $698.70
99453 134 119 $500.48
96127 157 111 $387.11
G0444 Annual depression screening, 5 to 15 minutes 122 110 $30.00
96116 51 30 $15.12