Medicaid Provider Spending

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

FAMILY MED 101, INC

NPI: 1902997059 · BOONEVILLE, MS 38829 · Primary Care Clinic/Center · NPI assigned 09/27/2006

$163K
Total Medicaid Paid
5,702
Total Claims
4,296
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPERRIGO, FELESHA (OWNER/NURSE PRACTITIONER)
NPI Enumeration Date09/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,548 $34K
2019 986 $28K
2020 692 $17K
2021 1,145 $39K
2022 887 $28K
2023 347 $12K
2024 97 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,950 1,481 $82K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 668 548 $43K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 505 442 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 798 445 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 938 714 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 157 127 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 21 14 $750.25
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 54 48 $685.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 14 $491.25
J0696 Injection, ceftriaxone sodium, per 250 mg 196 149 $126.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 385 301 $91.46