Medicaid Provider Spending

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

LIMESTONE MEDICAL CARE LLC

NPI: 1982897641 · LIMESTONE, TN 37681 · Clinic/Center · NPI assigned 08/24/2007

$87K
Total Medicaid Paid
2,864
Total Claims
2,175
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNASERI, MOUSA (NURSE PRACTIONER)
NPI Enumeration Date08/24/2007

Related Entities

Other providers sharing the same authorized official: NASERI, MOUSA

ProviderCityStateTotal Paid
JONESBOROUGH MEDICAL PLLC JONESBOROUGH TN $1.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 554 $19K
2019 482 $14K
2020 389 $14K
2021 422 $12K
2022 387 $12K
2023 393 $10K
2024 237 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,651 2,004 $82K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 129 109 $4K
90674 45 34 $259.12
G0008 Administration of influenza virus vaccine 24 13 $20.98
36415 Collection of venous blood by venipuncture 15 15 $18.68