Medicaid Provider Spending

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

MEDICAL CARE PLLC

NPI: 1851537260 · ELIZABETHTON, TN 37643 · 207Q00000X

$13.14M
Total Medicaid Paid
1,088,532
Total Claims
980,304
Beneficiaries
109
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 196,439 $1.32M
2019 171,186 $1.74M
2020 122,252 $1.39M
2021 148,583 $2.01M
2022 161,371 $2.62M
2023 154,596 $2.18M
2024 134,105 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 102,197 90,579 $4.58M
99213 79,307 72,817 $2.81M
87502 19,163 18,135 $1.54M
87651 27,465 26,308 $925K
87635 16,301 15,425 $736K
87426 14,495 13,920 $456K
96110 8,783 8,276 $339K
99393 4,231 4,008 $288K
99392 3,662 3,455 $248K
99215 Prolong outpt/office vis 2,452 2,174 $177K
99394 2,235 2,130 $166K
90471 11,145 10,324 $115K
85025 18,061 16,353 $95K
90472 8,489 4,604 $83K
99391 1,369 1,212 $79K
96372 7,215 5,735 $75K
87880 6,538 6,020 $70K
36415 37,160 32,710 $53K
81002 11,803 11,103 $29K
99177 3,539 3,342 $26K
80061 6,291 5,444 $23K
20610 721 444 $19K
87804 1,541 1,397 $19K
99203 426 367 $19K
99406 2,905 2,568 $17K
99490 Ccm add 20min 1,059 1,012 $17K
96161 912 796 $13K
99395 177 168 $12K
90674 624 588 $9K
80050 491 433 $7K
96127 1,055 989 $7K
83655 474 457 $6K
90686 1,387 1,278 $6K
99396 101 96 $6K
92551 794 751 $5K
G2211 Complex e/m visit add on 1,860 1,421 $5K
0012A 139 129 $5K
99204 72 68 $4K
0011A 166 147 $4K
90688 824 776 $4K
80053 3,711 3,201 $3K
99443 140 90 $3K
99212 142 129 $3K
99442 128 91 $3K
90677 62 55 $3K
93000 285 266 $2K
83036 1,327 1,145 $2K
84443 2,427 2,101 $2K
90651 293 274 $2K
99459 170 143 $2K
82044 817 711 $2K
82570 851 735 $1K
90734 165 150 $1K
87420 106 100 $1K
71046 104 96 $1K
J1100 Dexamethasone sodium phos 1,563 1,417 $991.42
99496 27 24 $955.09
J0696 Ceftriaxone sodium injection 587 522 $838.99
J0702 Betamethasone acet&sod phosp 102 74 $678.10
3078F 58,366 52,721 $660.00
90661 82 73 $658.47
0013A 32 25 $642.00
3074F 53,472 48,371 $580.00
90670 653 605 $440.00
G0439 Ppps, subseq visit 1,176 1,068 $439.77
77067 24 22 $417.12
90716 86 82 $260.00
J1885 Ketorolac tromethamine inj 166 146 $246.00
82607 49 44 $204.53
96160 13 12 $185.24
3079F 11,705 10,638 $170.00
G0008 Admin influenza virus vac 559 512 $132.07
90715 68 61 $112.80
82746 30 25 $112.06
90648 777 733 $107.70
90707 129 124 $80.00
90662 210 191 $55.00
3077F 5,231 4,720 $40.00
85610 82 47 $27.53
99211 18 14 $27.10
3725F 146,570 132,576 $25.00
1036F 62,585 55,920 $25.00
82728 12 12 $24.86
83550 12 12 $15.93
83540 12 12 $11.82
3075F 6,099 5,569 $10.00
91301 399 338 $0.24
90681 45 41 $0.00
3050F 1,375 1,171 $0.00
1159F 2,560 2,095 $0.00
3046F 131 108 $0.00
1160F 1,499 1,153 $0.00
3045F 315 251 $0.00
1100F 333 262 $0.00
90685 30 27 $0.00
G9920 Scrning perf and negative 29 29 $0.00
90633 184 173 $0.00
3008F 185,107 167,630 $0.00
4010F 22,830 20,302 $0.00
3048F 34,140 30,603 $0.00
1034F 24,346 21,839 $0.00
1031F 21,471 18,867 $0.00
3044F 16,694 14,704 $0.00
1123F 951 831 $0.00
3049F 5,312 4,656 $0.00
90723 269 251 $0.00
1101F 1,114 863 $0.00
3080F 515 464 $0.00
2023F 29 28 $0.00