Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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POLK, SHELBY
NPI: 1912014648 · FLOWOOD, MS 39232 ·
363LF0000X
$0.00
Total Medicaid Paid
1,180
Total Claims
1,046
Beneficiaries
9
Codes Billed
2021-09
First Month
2024-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
159
$0.00
2022
664
$0.00
2023
315
$0.00
2024
42
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
82947
188
172
$0.00
99215
Prolong outpt/office vis
12
12
$0.00
80061
12
12
$0.00
83036
213
194
$0.00
G0108
Diab manage trn per indiv
448
395
$0.00
99214
246
222
$0.00
80053
29
15
$0.00
82044
20
12
$0.00
36415
12
12
$0.00