Medicaid Provider Spending

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

STEPHEN L. AVERETT

NPI: 1851426415 · LINDEN, TN 37096 · Legal Medicine · NPI assigned 02/23/2007

$186K
Total Medicaid Paid
29,622
Total Claims
22,774
Beneficiaries
40
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialAVERETT, STEPHEN (OWNER)
NPI Enumeration Date02/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,395 $25K
2019 3,801 $29K
2020 5,842 $33K
2021 8,600 $36K
2022 5,205 $34K
2023 3,779 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,567 5,180 $142K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,425 1,189 $26K
99497 201 169 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 629 520 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 238 213 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 65 49 $2K
99223 Prolong inpt eval add15 m 52 50 $1K
36415 Collection of venous blood by venipuncture 1,092 966 $900.39
99232 Subsequent hospital care, per day, moderate complexity 53 13 $673.02
80305 245 217 $543.12
99239 Hospital discharge day management, more than 30 minutes 28 27 $451.70
90688 46 40 $233.53
99407 33 25 $232.79
G0008 Administration of influenza virus vaccine 93 76 $213.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27 24 $197.02
99309 Subsequent nursing facility care, per day, low to moderate complexity 30 12 $125.36
1159F 5,047 3,666 $110.00
1160F 5,048 3,667 $110.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 17 12 $100.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 33 28 $68.68
G0442 Annual alcohol misuse screening, 5 to 15 minutes 38 30 $58.61
3008F 2,181 1,558 $50.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 29 24 $6.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,997 3,848 $0.00
G8482 Influenza immunization administered or previously received 102 89 $0.00
1158F 60 54 $0.00
4004F 90 84 $0.00
1124F 101 87 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 100 88 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 250 179 $0.00
4040F 47 41 $0.00
99072 37 25 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 39 36 $0.00
1157F 60 54 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 186 143 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 114 102 $0.00
1036F 51 42 $0.00
3017F 140 118 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 16 15 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 15 14 $0.00