SOUTHERN PRIMARY CARE PLLC
NPI: 1891083135
· BROOKHAVEN, MS 39601
· 207Q00000X
$358K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,357 |
$67K |
| 2019 |
1,721 |
$53K |
| 2020 |
1,754 |
$52K |
| 2021 |
1,762 |
$64K |
| 2022 |
1,409 |
$52K |
| 2023 |
623 |
$36K |
| 2024 |
633 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,728 |
5,217 |
$318K |
| 99213 |
|
373 |
348 |
$18K |
| 96372 |
|
618 |
420 |
$4K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$4K |
| 87426 |
|
110 |
103 |
$3K |
| 87880 |
|
288 |
265 |
$3K |
| 83036 |
|
716 |
679 |
$3K |
| 87804 |
|
233 |
136 |
$2K |
| 82962 |
|
801 |
756 |
$909.17 |
| 86710 |
|
26 |
13 |
$370.62 |
| 90674 |
|
53 |
50 |
$361.37 |
| 36415 |
|
102 |
98 |
$129.84 |
| 80305 |
|
28 |
25 |
$127.11 |
| 81002 |
|
33 |
32 |
$47.98 |
| J0696 |
Ceftriaxone sodium injection |
31 |
25 |
$20.98 |
| 96127 |
|
16 |
15 |
$19.64 |
| J1100 |
Dexamethasone sodium phos |
26 |
25 |
$3.76 |
| G0008 |
Admin influenza virus vac |
35 |
34 |
$0.00 |