Medicaid Provider Spending

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

NPI: 1003187113 · SEMINOLE, OK 74868 · Family Medicine Physician · NPI assigned 01/20/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GINGRAS, MICHAEL controls 13+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
478
Total Claims
394
Beneficiaries
6
Codes Billed
2018-03
First Month
2022-04
Last Month

Provider Details

Authorized OfficialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date01/20/2012

Related Entities

Other providers sharing the same authorized official: GINGRAS, MICHAEL

ProviderCityStateTotal Paid
DURANT HMA PHYSICIAN MANAGEMENT, LLC DURANT OK $6.90M
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC MIDWEST CITY OK $2.41M
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC TULLAHOMA TN $2.25M
CHESTER MEDICAL GROUP, LLC CHESTER SC $960K
LEBANON HMA PHYSICIAN MANAGEMENT LLC LEBANON TN $190K
WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC WILLIAMSON WV $174K
KENNETT HMA PHYSICIAN MANAGEMENT, LLC KENNETT MO $32K
STARKE HMA MEDICAL GROUP LLC STARKE FL $6K
LIVE OAK HMA MEDICAL GROUP, LLC LIVE OAK FL $3K
FT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $2K
FT SMITH HMA PBC MANAGEMENT, LLC SPIRO OK $865.40
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC PUNTA GORDA FL $490.68
JAMESTOWN HMA PHYSICIAN MANAGEMENT LLC JAMESTOWN TN $373.05

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 316 $7K
2019 111 $2K
2022 51 $853.47

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00851 13 13 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 239 212 $3K
99238 Hospital discharge day management, 30 minutes or less 90 89 $2K
99232 Subsequent hospital care, per day, moderate complexity 71 39 $1K
97597 51 27 $853.47
99223 Prolong inpt eval add15 m 14 14 $737.10