Medicaid Provider Spending

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

SOUTH MAIN CLINIC LLC

NPI: 1851959217 · MADISONVILLE, KY 42431 · Family Medicine Physician · NPI assigned 05/31/2019

$55K
Total Medicaid Paid
2,844
Total Claims
1,748
Beneficiaries
9
Codes Billed
2020-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialASHBY, JAMES (VICE-PRESIDENT/MEMBER)
NPI Enumeration Date05/31/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 276 $7K
2021 1,913 $29K
2022 635 $18K
2023 20 $672.98

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,469 989 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 321 157 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 96 84 $4K
87428 119 54 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 331 205 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 110 81 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38 27 $1K
80305 42 28 $334.49
99072 318 123 $35.00