Medicaid Provider Spending

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

FORT SANDERS PERINATAL CENTER

NPI: 1003811381 · KNOXVILLE, TN 37916 · Maternal & Fetal Medicine Physician · NPI assigned 06/14/2005

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

Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more

$46.50M
Total Medicaid Paid
685,285
Total Claims
442,111
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (DIR OF FINANCE)
NPI Enumeration Date06/14/2005

Related Entities

Other providers sharing the same authorized official: THOMPSON, DONNA

ProviderCityStateTotal Paid
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $12.70M
ACCESS COMMUNITY HEALTH NETWORK DES PLAINES IL $11.86M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $11.75M
ACCESS COMMUNITY HEALTH NETWORK BLUE ISLAND IL $10.83M
ACCESS COMMUNITY HEALTH NETWORK CICERO IL $9.58M
ACCESS COMMUNITY HEALTH NETWORK ARLINGTON HEIGHTS IL $9.33M
ACCESS COMMUNITY HEALTH NETWORK BLOOMINGDALE IL $9.26M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $9.20M
ACCESS COMMUNITY HEALTH NETWORK EVANSTON IL $8.29M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $8.16M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $8.03M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $7.60M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $7.54M
ACCESS COMMUNITY HEALTH NETWORK MELROSE PARK IL $6.70M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $6.28M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO HEIGHTS IL $6.05M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $5.78M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $5.42M
ACCESS COMMUNITY HEALTH NETWORK SUMMIT IL $5.36M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $4.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60,606 $4.17M
2019 67,951 $5.06M
2020 119,881 $7.81M
2021 105,596 $6.56M
2022 120,258 $7.93M
2023 114,005 $7.61M
2024 96,988 $7.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 76,883 47,840 $6.84M
76820 84,546 42,676 $5.22M
76819 Fetal biophysical profile; without non-stress testing 61,751 34,946 $5.19M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 3,097 2,550 $5.10M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 21,749 16,589 $4.05M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 34,453 24,124 $3.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,323 30,614 $2.17M
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 25,998 16,182 $1.70M
76818 13,466 8,417 $1.49M
76830 Ultrasound, transvaginal 14,996 11,547 $1.37M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 16,119 9,787 $1.29M
59510 735 607 $1.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,074 10,062 $1.20M
76801 8,836 6,234 $897K
59426 1,329 991 $890K
59025 Fetal non-stress test 21,536 11,654 $841K
76825 4,077 2,789 $799K
76813 5,233 3,479 $485K
99215 Prolong outpt/office vis 3,027 2,205 $345K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,010 2,362 $289K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,366 2,552 $276K
93325 3,638 2,478 $260K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,575 5,658 $227K
59410 175 123 $149K
90715 2,951 2,181 $141K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 186 123 $141K
54150 677 485 $128K
81025 16,005 11,423 $95K
36415 Collection of venous blood by venipuncture 34,471 24,992 $82K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 388 309 $53K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 538 435 $48K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,303 3,163 $44K
99459 2,166 1,680 $43K
96127 6,265 4,793 $35K
87210 8,194 5,497 $29K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 245 204 $25K
59425 60 41 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,178 831 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 444 329 $21K
0500F 3,317 2,343 $19K
99238 Hospital discharge day management, 30 minutes or less 231 197 $16K
90686 739 530 $15K
81002 4,435 3,238 $12K
76821 126 26 $12K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 147 115 $11K
76826 84 57 $9K
99385 73 58 $8K
58300 90 65 $6K
99239 Hospital discharge day management, more than 30 minutes 46 29 $5K
82274 649 509 $4K
90674 161 132 $4K
G0444 Annual depression screening, 5 to 15 minutes 223 198 $4K
99222 Initial hospital care, per day, moderate complexity 26 15 $3K
99233 Prolong inpt eval add15 m 52 13 $3K
99232 Subsequent hospital care, per day, moderate complexity 29 13 $2K
99386 15 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 47 18 $2K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 97 38 $2K
90656 53 53 $1K
3008F 2,291 1,403 $1K
0503F 4,937 3,935 $555.00
0502F 107,710 70,179 $20.00
0501F 6,651 5,241 $0.00
3292F 959 714 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 34 28 $0.00