Medicaid Provider Spending

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

MEDICAL CLINIC LLC

NPI: 1871566265 · SIDNEY, IA 51652 · Family Medicine Physician · NPI assigned 02/08/2006

$448K
Total Medicaid Paid
12,120
Total Claims
10,742
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHENDRICKSON, CRISTIN (CEO)
NPI Enumeration Date02/08/2006

Related Entities

Other providers sharing the same authorized official: HENDRICKSON, CRISTIN

ProviderCityStateTotal Paid
MEDICAL CLINIC LLC HAMBURG IA $673K
MEDICAL CLINIC LLC TABOR IA $408K
COMMUNITY HOSPITAL INC HAMBURG IA $65K
COMMUNITY HOSPITAL INC HAMBURG IA $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,698 $95K
2019 2,661 $84K
2020 1,625 $65K
2021 1,692 $65K
2022 1,617 $63K
2023 1,575 $62K
2024 252 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,411 4,646 $442K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,761 3,360 $4K
94760 1,269 1,169 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 835 769 $180.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 242 232 $13.80
36415 Collection of venous blood by venipuncture 50 49 $6.34
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 53 53 $0.00
85027 19 18 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $0.00
36416 142 132 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 112 104 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 19 18 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 105 97 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 18 14 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 41 41 $0.00
90734 14 13 $0.00
90461 14 13 $0.00