Medicaid Provider Spending

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

HERMITAGE PRIMARY CARE LLC

NPI: 1023064540 · HERMITAGE, TN 37076 · Internal Medicine Physician · NPI assigned 05/26/2006

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

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$25K
Total Medicaid Paid
2,579
Total Claims
1,988
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VP)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
ST LUCIE MEDICAL SPECIALISTS LLC PORT ST LUCIE FL $1.26M
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
COLUMBIA PRIMARY CARE LLC WEST PALM BEACH FL $663K
INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC NASHVILLE TN $281K
LAWNWOOD HEALTHCARE SPECIALISTS LLC VERO BEACH FL $248K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
TRISTAR JOINT REPLACEMENT INSTITUTE, LLC NASHVILLE TN $16K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 576 $5K
2019 494 $3K
2020 443 $5K
2021 480 $5K
2022 442 $5K
2023 144 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,313 1,772 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 160 134 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 87 66 $0.00
G0008 Administration of influenza virus vaccine 19 16 $0.00