DESOTO FAMILY CARE CLINIC, PLLC
NPI: 1972028843
· SOUTHAVEN, MS 38671
· 207Q00000X
$803K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
104 |
$2K |
| 2020 |
1,834 |
$52K |
| 2021 |
5,325 |
$169K |
| 2022 |
8,028 |
$195K |
| 2023 |
5,947 |
$228K |
| 2024 |
4,625 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
4,521 |
3,852 |
$288K |
| 99203 |
|
3,109 |
2,610 |
$169K |
| 99213 |
|
3,860 |
2,916 |
$143K |
| 87426 |
|
3,093 |
2,440 |
$78K |
| 96372 |
|
1,658 |
1,386 |
$26K |
| 87804 |
|
1,664 |
1,282 |
$25K |
| 99204 |
|
248 |
221 |
$22K |
| 99215 |
Prolong outpt/office vis |
93 |
89 |
$10K |
| 87880 |
|
833 |
765 |
$8K |
| 36415 |
|
2,921 |
2,479 |
$6K |
| 87634 |
|
179 |
152 |
$6K |
| M0243 |
Casirivi and imdevi inj |
23 |
18 |
$5K |
| 87428 |
|
84 |
71 |
$5K |
| 81025 |
|
458 |
403 |
$2K |
| 81003 |
|
1,484 |
1,270 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
448 |
370 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
87 |
71 |
$2K |
| 0241U |
|
44 |
37 |
$1K |
| 99384 |
|
15 |
13 |
$1K |
| 99212 |
|
27 |
27 |
$710.36 |
| 90674 |
|
22 |
16 |
$245.63 |
| J1100 |
Dexamethasone sodium phos |
608 |
519 |
$241.99 |
| J1200 |
Diphenhydramine hcl injectio |
279 |
240 |
$209.12 |
| 90471 |
|
22 |
16 |
$121.84 |
| J3301 |
Triamcinolone acet inj nos |
39 |
38 |
$36.49 |
| J1885 |
Ketorolac tromethamine inj |
15 |
12 |
$26.25 |
| 99497 |
|
29 |
25 |
$0.00 |