Medicaid Provider Spending

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

FAITH FAMILY CLINIC, LLC

NPI: 1831288281 · BOONEVILLE, MS 38829 · Primary Care Clinic/Center · NPI assigned 10/12/2006

$36K
Total Medicaid Paid
1,500
Total Claims
1,127
Beneficiaries
12
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialTHORNTON, KELLY (FAMILY NURSE PRACTITIONER/CO-OWNER)
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: THORNTON, KELLY

ProviderCityStateTotal Paid
FAITH FAMILY CLINIC OF KOSSUTH, LLC CORINTH MS $235K
BYRON CENTER CHIROPRACTIC BYRON CENTER MI $131K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,500 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 516 380 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 149 128 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 148 105 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 141 116 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 155 123 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 70 28 $808.66
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $620.83
36415 Collection of venous blood by venipuncture 70 61 $97.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg 124 87 $30.26
99173 18 12 $22.86
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 40 32 $0.00
36416 56 43 $0.00