Medicaid Provider Spending

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

PAINTSVILLE HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1023069937 · PAINTSVILLE, KY 41240 · Anesthesiology Physician · NPI assigned 05/15/2006

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

Authorized official FEY, LAURA controls 20+ related entities in our dataset. Read more

$2.41M
Total Medicaid Paid
120,218
Total Claims
91,619
Beneficiaries
92
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialFEY, LAURA (SR DIRECTOR)
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: FEY, LAURA

ProviderCityStateTotal Paid
MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC SPRINGFIELD OR $44.67M
DEMING HOSPITAL CORPORATION DEMING NM $11.41M
THREE RIVERS MEDICAL CLINICS INC LOUISA KY $7.06M
AMBULANCE SERVICES OF FORREST CITY LLC FORREST CITY AR $3.51M
AMBULANCE SERVICES OF TOOELE, LLC TOOELE UT $3.42M
DEMING CLINIC CORPORATION DEMING NM $2.06M
FORT PAYNE CLINIC CORP. FORT PAYNE AL $2.00M
SAN MIGUEL CLINIC CORP LAS VEGAS NM $1.76M
FORT PAYNE RHC CORP FORT PAYNE AL $1.76M
JACKSON HOSPITAL CORPORATION BEATTYVILLE KY $1.68M
TOOELE CLINIC CORP TOOELE UT $1.29M
WILLIAMSTON CLINIC CORP WILLIAMSTON NC $1.26M
MCKENZIE PHYSICIAN SERVICES LLC BRENTWOOD TN $1.24M
ANNA HOSPITAL CORPORATION ANNA IL $1.17M
BIG BEND HOSPITAL CORPORATION ALPINE TX $952K
KENTUCKY RIVER PHYSICIAN CORPORATION JACKSON KY $948K
FORT PAYNE HBP LLC FORT PAYNE AL $731K
FORREST CITY CLINIC COMPANY LLC FORREST CITY AR $702K
MESQUITE CLINIC MANAGEMENT COMPANY LLC LOGANDALE NV $597K
MESQUITE CLINIC MANAGEMENT COMPANY LLC MESQUITE NV $556K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,495 $561K
2019 30,339 $619K
2020 25,861 $539K
2021 35,523 $687K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,976 28,223 $895K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,391 4,881 $219K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,021 9,196 $150K
99223 Prolong inpt eval add15 m 2,257 1,781 $126K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,625 5,722 $125K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,916 3,027 $107K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,696 1,414 $86K
99232 Subsequent hospital care, per day, moderate complexity 4,329 1,930 $78K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 769 633 $57K
99238 Hospital discharge day management, 30 minutes or less 1,892 1,513 $51K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 413 400 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,418 2,069 $34K
99205 Prolong outpt/office vis 412 330 $32K
92340 Fitting of spectacles, except for aphakia; monofocal 490 449 $31K
20610 938 536 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 850 782 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 461 434 $27K
99215 Prolong outpt/office vis 523 402 $24K
36415 Collection of venous blood by venipuncture 7,132 6,113 $22K
99442 825 637 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 272 221 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,119 904 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 237 222 $18K
90792 Psychiatric diagnostic evaluation with medical services 298 259 $17K
99222 Initial hospital care, per day, moderate complexity 335 265 $16K
99443 302 241 $14K
J1030 Injection, methylprednisolone acetate, 40 mg 1,847 1,349 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,773 5,158 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,254 2,263 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 681 334 $8K
99233 Prolong inpt eval add15 m 331 141 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 119 114 $7K
99490 Ccm add 20min 1,587 1,214 $6K
90686 382 346 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 41 29 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 353 337 $5K
83036 Hemoglobin; glycosylated (A1C) 633 544 $4K
73030 236 192 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 285 122 $3K
99219 55 46 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,226 1,618 $3K
99441 170 137 $3K
73560 137 118 $2K
90674 83 78 $2K
99217 68 50 $2K
99386 38 26 $2K
92341 27 27 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 156 105 $2K
00731 30 27 $2K
99218 54 42 $2K
73565 99 86 $1K
99308 Subsequent nursing facility care, per day, straightforward 305 200 $1K
73562 64 50 $1K
99234 20 15 $1K
80305 171 152 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 43 36 $999.89
99307 254 160 $808.99
00813 18 16 $743.89
90836 26 15 $717.40
99239 Hospital discharge day management, more than 30 minutes 21 15 $669.61
99497 164 118 $524.81
97763 24 17 $494.51
73630 29 24 $462.80
73610 15 12 $293.28
00142 17 12 $277.11
90662 51 48 $226.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 114 83 $213.88
J3490 Unclassified drugs 173 131 $169.72
99406 19 17 $153.27
81002 153 144 $97.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 22 18 $74.16
97760 13 12 $36.48
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 28 23 $36.34
96127 12 12 $30.27
99439 15 13 $24.43
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 189 160 $2.78
3078F 361 300 $1.05
3074F 205 170 $0.79
3008F 543 461 $0.51
3077F 75 66 $0.24
3079F 39 33 $0.14
3080F 14 13 $0.09
1160F 1,281 1,057 $0.04
1159F 466 399 $0.03
3075F 15 15 $0.02
99024 172 116 $0.00
G0008 Administration of influenza virus vaccine 115 93 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 108 75 $0.00
1036F 84 65 $0.00
1101F 19 13 $0.00
99000 21 20 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 178 133 $0.00