Medicaid Provider Spending

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

SKYLINE NEUROSCIENCE ASSOCIATES, LLC

NPI: 1033154786 · NASHVILLE, TN 37207 · Neurology Physician · NPI assigned 06/17/2006

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

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$186K
Total Medicaid Paid
8,140
Total Claims
6,216
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (VICE PRESIDENT)
NPI Enumeration Date06/17/2006

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
WEST VALLEY MEDICAL GROUP LLC CALDWELL ID $2.13M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
EAST FALLS FAMILY MEDICINE, LLC IDAHO FALLS ID $1.05M
MOUNTAINSTAR OGDEN PEDIATRICS LLC OGDEN UT $1.04M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
GARDEN PARK PHYSICIAN GROUP INC GULFPORT MS $625K
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC CALDWELL ID $484K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
TRISTAR FAMILY CARE, LLC ASHLAND CITY TN $368K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,264 $34K
2019 1,746 $42K
2020 1,511 $31K
2021 1,810 $38K
2022 1,244 $31K
2023 411 $7K
2024 154 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,922 2,539 $87K
99223 Prolong inpt eval add15 m 944 747 $36K
99232 Subsequent hospital care, per day, moderate complexity 1,479 770 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 286 249 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 530 475 $12K
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 214 142 $7K
99233 Prolong inpt eval add15 m 145 82 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 13 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 123 68 $927.00
G0444 Annual depression screening, 5 to 15 minutes 56 41 $261.88
99441 33 29 $244.19
95816 13 12 $216.05
95812 16 12 $177.64
99215 Prolong outpt/office vis 17 12 $102.21
1123F 41 27 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,295 998 $0.00