Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTH MOORE MEDICAL CLINIC,PC
NPI: 1972545218 · MOORE, OK 73170 ·
207Q00000X
$120K
Total Medicaid Paid
2,116
Total Claims
1,788
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
2,116
$120K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99213
1,580
1,278
$93K
99214
182
168
$14K
87502
102
100
$6K
87880
152
144
$2K
99394
18
18
$2K
99203
19
19
$2K
99393
14
14
$1K
90471
23
23
$391.00
87807
13
12
$150.48
81000
13
12
$43.03