Medicaid Provider Spending

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

SOUTH OLDHAM MEDICAL CLINIC PSC

NPI: 1922142983 · CRESTWOOD, KY 40014 · General Practice Physician · NPI assigned 02/16/2007

$50K
Total Medicaid Paid
2,722
Total Claims
1,807
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialALUR, ASHOR (PHYSICIAN OWNER)
NPI Enumeration Date02/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,722 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,090 690 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 721 462 $23K
36415 Collection of venous blood by venipuncture 197 142 $551.76
1126F 146 105 $329.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 15 $192.46
1170F 171 122 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 171 122 $0.00
0518F 171 122 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 19 14 $0.00