Medicaid Provider Spending

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

EXECUTIVE OUTCOMES PC

NPI: 1821352808 · JACKSON, TN 38305 · Internal Medicine Physician · NPI assigned 06/25/2012

$89K
Total Medicaid Paid
6,014
Total Claims
3,687
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBANEZ, MONICO (OWNER)
NPI Enumeration Date06/25/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,075 $12K
2019 1,201 $16K
2020 946 $14K
2021 955 $17K
2022 697 $15K
2023 641 $9K
2024 499 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,757 2,110 $62K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 644 518 $11K
97597 1,340 839 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 123 113 $3K
11045 45 28 $1K
99232 Subsequent hospital care, per day, moderate complexity 81 55 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 24 $277.39