Medicaid Provider Spending

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

SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY

NPI: 1881694685 · DONIPHAN, MO 63935 · Rural Health Clinic/Center · NPI assigned 07/22/2005

$530K
Total Medicaid Paid
8,180
Total Claims
7,169
Beneficiaries
17
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialHARP, KATHY (BUSINESS OFFICE SUPERVISOR)
Parent OrganizationSOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
NPI Enumeration Date07/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,180 $530K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,435 4,903 $375K
90832 Psychotherapy, 30 minutes with patient 770 376 $48K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 478 458 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 249 240 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 130 124 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 80 78 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 72 68 $8K
99336 86 86 $7K
90791 Psychiatric diagnostic evaluation 12 12 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 71 69 $2K
99215 Prolong outpt/office vis 12 12 $2K
99308 Subsequent nursing facility care, per day, straightforward 31 30 $891.38
99335 13 13 $301.40
36415 Collection of venous blood by venipuncture 510 488 $81.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 27 $0.00
T1015 Clinic visit/encounter, all-inclusive 191 173 $0.00