Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Vicksburg Clinic LLC

Vicksburg Clinic LLC was paid $942K by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoVICKSBURG CLINIC LLC
VICKSBURG, MS 39183
33aNPI1861622268assigned 07/20/2009
28Total paid$942K
24GClaims20,155
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Mississippi

Rank by total paid#56 of 152
Median peer was paid$567K
This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MUSIC, KRISTY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201812,198$693K
20191,835$111K
20201,292$67K
2021410$20K
20221,540$12K
20231,956$27K
2024incomplete924$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64% 7,216 5,782 $601K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20% 3,029 2,651 $188K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.5% 426 415 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.9% 418 367 $46K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.1% 193 167 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 133 113 $13K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 263 217 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,239 1,136 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 794 731 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 152 116 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 53 46 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 383 302 $1K
28 more codes
99442 <1% 63 $890.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,013 $561.80
92551 <1% 182 $397.00
96127 <1% 276 $344.85
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 17 $184.82
3078F <1% 543 $143.42
99173 <1% 198 $93.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 13 $62.06
90474 <1% 39 $30.00
90685 <1% 30 $21.81
90686 <1% 91 $19.03
1159F 0% 361 $0.00
3077F 0% 68 $0.00
1160F 0% 362 $0.00
90633 0% 45 $0.00
90670 0% 71 $0.00
90734 0% 13 $0.00
71046 Radiologic examination, chest; 2 views 0% 20 $0.00
3079F 0% 238 $0.00
1036F 0% 116 $0.00
3008F 0% 1,364 $0.00
90698 0% 74 $0.00
3074F 0% 559 $0.00
3075F 0% 15 $0.00
3080F 0% 13 $0.00
90651 0% 46 $0.00
90688 0% 13 $0.00
87807 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMUSIC, KRISTY (DIRECTOR PROVIDER ENROLLMENT)
Parent organizationVICKSBURG CLINIC LLC
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.