WALK IN CLINIC OF SPARTA LLC.
NPI: 1952438020
· SPARTA, TN 38583
· 363AM0700X
$160K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,223 |
$88K |
| 2019 |
6,303 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,622 |
2,072 |
$80K |
| 99214 |
|
953 |
717 |
$40K |
| 96372 |
|
1,497 |
1,118 |
$14K |
| 99203 |
|
154 |
136 |
$7K |
| 87804 |
|
247 |
223 |
$6K |
| 99406 |
|
637 |
493 |
$4K |
| 87880 |
|
164 |
148 |
$2K |
| 94060 |
|
59 |
54 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
71 |
47 |
$749.97 |
| 95923 |
|
12 |
12 |
$600.39 |
| 90674 |
|
33 |
29 |
$480.61 |
| 93922 |
|
12 |
12 |
$473.33 |
| 36415 |
|
332 |
288 |
$471.92 |
| J0696 |
Ceftriaxone sodium injection |
618 |
512 |
$460.99 |
| 94640 |
|
57 |
51 |
$449.38 |
| J1885 |
Ketorolac tromethamine inj |
466 |
375 |
$445.03 |
| 76705 |
|
13 |
13 |
$442.31 |
| 3008F |
|
94 |
68 |
$420.00 |
| 80305 |
|
71 |
59 |
$400.66 |
| 81003 |
|
282 |
239 |
$375.35 |
| G0444 |
Depression screen annual |
80 |
67 |
$331.52 |
| 95943 |
|
12 |
12 |
$270.81 |
| 90471 |
|
27 |
23 |
$217.84 |
| 99211 |
|
16 |
15 |
$210.99 |
| J1100 |
Dexamethasone sodium phos |
666 |
546 |
$187.29 |
| J3301 |
Triamcinolone acet inj nos |
16 |
13 |
$14.64 |
| 4004F |
|
1,164 |
895 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,503 |
1,214 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
207 |
157 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
151 |
112 |
$0.00 |
| 94375 |
|
52 |
48 |
$0.00 |
| G8730 |
Pain doc pos and plan |
85 |
81 |
$0.00 |
| G8482 |
Flu immunize order/admin |
52 |
42 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
1,109 |
919 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
240 |
200 |
$0.00 |
| 1036F |
|
581 |
492 |
$0.00 |
| G8754 |
Dias bp less 90 |
115 |
98 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
34 |
28 |
$0.00 |
| 1220F |
|
22 |
17 |
$0.00 |