Medicaid Provider Spending

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

WALK IN CLINIC OF SPARTA LLC.

NPI: 1952438020 · SPARTA, TN 38583 · Medical Physician Assistant · NPI assigned 02/27/2007

$160K
Total Medicaid Paid
14,526
Total Claims
11,645
Beneficiaries
39
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialDURBIN, WAYNE (PRESIDENT)
NPI Enumeration Date02/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,223 $88K
2019 6,303 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,622 2,072 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 953 717 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,497 1,118 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 154 136 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 247 223 $6K
99406 637 493 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 164 148 $2K
94060 59 54 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 71 47 $749.97
95923 12 12 $600.39
90674 33 29 $480.61
93922 12 12 $473.33
36415 Collection of venous blood by venipuncture 332 288 $471.92
J0696 Injection, ceftriaxone sodium, per 250 mg 618 512 $460.99
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 57 51 $449.38
J1885 Injection, ketorolac tromethamine, per 15 mg 466 375 $445.03
76705 Ultrasound, abdominal, real time with image documentation; limited 13 13 $442.31
3008F 94 68 $420.00
80305 71 59 $400.66
81003 282 239 $375.35
G0444 Annual depression screening, 5 to 15 minutes 80 67 $331.52
95943 12 12 $270.81
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 23 $217.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 15 $210.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg 666 546 $187.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 13 $14.64
4004F 1,164 895 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,503 1,214 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 207 157 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 151 112 $0.00
94375 52 48 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 85 81 $0.00
G8482 Influenza immunization administered or previously received 52 42 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,109 919 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 240 200 $0.00
1036F 581 492 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 115 98 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 34 28 $0.00
1220F 22 17 $0.00