Medicaid Provider Spending

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

PSP MEDICAL CLINIC LLC

NPI: 1932144243 · CANTON, MS 39046 · Rural Health Clinic/Center · NPI assigned 06/19/2006

$2.60M
Total Medicaid Paid
88,768
Total Claims
72,192
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOEL, NEELAM (MANAGER)
NPI Enumeration Date06/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,328 $426K
2019 10,458 $347K
2020 12,755 $441K
2021 12,074 $479K
2022 12,193 $382K
2023 19,927 $357K
2024 10,033 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,084 15,496 $1.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,146 11,552 $727K
90834 Psychotherapy, 45 minutes with patient 3,183 2,612 $143K
99308 Subsequent nursing facility care, per day, straightforward 4,586 3,613 $133K
90832 Psychotherapy, 30 minutes with patient 3,121 2,604 $132K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,899 4,988 $130K
99335 1,571 1,254 $69K
99334 1,290 1,135 $55K
99348 1,555 1,303 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 662 511 $37K
99232 Subsequent hospital care, per day, moderate complexity 2,145 573 $34K
99222 Initial hospital care, per day, moderate complexity 320 262 $26K
90791 Psychiatric diagnostic evaluation 365 199 $18K
90837 Psychotherapy, 53 minutes with patient 235 202 $12K
80305 1,224 994 $6K
99238 Hospital discharge day management, 30 minutes or less 419 354 $5K
99233 Prolong inpt eval add15 m 215 107 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 69 48 $3K
82947 2,288 1,897 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 218 167 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 72 55 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 41 36 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,075 805 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 23 16 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
36415 Collection of venous blood by venipuncture 1,141 973 $936.87
99051 84 69 $820.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 51 51 $663.24
99497 161 146 $541.89
99495 13 13 $420.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 956 709 $419.98
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 71 53 $364.55
83037 560 488 $313.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 381 347 $308.53
90674 163 152 $192.44
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 91 41 $161.73
99000 537 389 $104.70
J1885 Injection, ketorolac tromethamine, per 15 mg 151 130 $93.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 85 83 $79.95
11721 12 12 $68.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 260 218 $62.38
J0696 Injection, ceftriaxone sodium, per 250 mg 57 45 $53.79
90686 89 63 $23.58
81002 170 155 $19.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 50 42 $8.29
99072 290 270 $8.00
86580 31 31 $1.79
1160F 2,069 1,819 $0.00
3078F 1,795 1,564 $0.00
3077F 1,070 941 $0.00
1159F 3,025 2,585 $0.00
4004F 311 263 $0.00
1158F 18 16 $0.00
3288F 441 373 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 58 57 $0.00
G8482 Influenza immunization administered or previously received 19 18 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 35 30 $0.00
80306 30 23 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 16 13 $0.00
3075F 826 742 $0.00
1125F 1,074 911 $0.00
1170F 470 396 $0.00
3074F 2,188 1,891 $0.00
3080F 698 618 $0.00
1126F 2,988 2,587 $0.00
3079F 1,651 1,444 $0.00
G8434 18 15 $0.00
1036F 360 308 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 35 33 $0.00
1000F 227 173 $0.00
3008F 89 81 $0.00
G0008 Administration of influenza virus vaccine 34 16 $0.00