Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marshall Medical Center South Manganaris Pulmonology

Marshall Medical Center South Manganaris Pulmonology was paid $27K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider infoMARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY
GUNTERSVILLE, AL 35976
33aNPI1013299304assigned 09/13/2011
28Total paid$27K
24GClaims1,792
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in Alabama

Rank by total paid#9 of 19
Median peer was paid$12K
This provider vs. median2.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018839$10K
2019426$6K
2020216$2K
202189$2K
2023121$4K
2024incomplete101$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 89% 1,159 865 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 138 87 $1K
94060 3.0% 97 94 $799.43
94726 1.7% 96 93 $450.45
94729 1.1% 96 93 $297.55
99406 0% 206 155 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGUNN, GWEN (ADMINISTRATOR)