Medicaid Provider Spending

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

JOHN R CLOUGH

NPI: 1881870418 · LIVINGSTON, TN 38570 · Family Medicine Physician · NPI assigned 01/14/2008

$576K
Total Medicaid Paid
56,257
Total Claims
39,984
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEDBETTER, MINDY (OFFICE MANAGER)
NPI Enumeration Date01/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,571 $64K
2019 7,497 $80K
2020 6,705 $67K
2021 11,844 $93K
2022 13,065 $114K
2023 5,802 $101K
2024 2,773 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,696 5,445 $273K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,159 4,737 $200K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,146 851 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,452 831 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,384 772 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,451 1,776 $14K
3008F 6,588 4,855 $5K
99490 Ccm add 20min 750 584 $4K
3078F 3,000 2,300 $3K
3074F 3,540 2,665 $3K
3079F 1,298 976 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 87 77 $955.81
3075F 739 569 $601.11
81002 350 271 $600.71
96127 213 142 $585.36
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 12 $557.68
99173 93 83 $534.02
96160 47 38 $469.44
71046 Radiologic examination, chest; 2 views 42 24 $430.90
90688 34 29 $342.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $91.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 60 39 $50.15
99080 1,717 958 $50.00
36415 Collection of venous blood by venipuncture 18 15 $23.25
3044F 13 12 $20.00
3077F 15 12 $10.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 29 25 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,434 879 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 1,524 939 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 29 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14 12 $0.00
99499 203 129 $0.00
G9666 Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl 41 31 $0.00
3725F 139 101 $0.00
3016F 12 12 $0.00
1036F 3,914 2,910 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,558 988 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 949 626 $0.00
1000F 4,993 3,515 $0.00
3011F 48 32 $0.00
1034F 1,131 733 $0.00
4010F 323 220 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 104 83 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 453 329 $0.00
G9459 Currently a tobacco non-user 240 168 $0.00
4008F 46 32 $0.00
G9274 Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90 29 25 $0.00
3352F 118 84 $0.00