Medicaid Provider Spending

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

SMGH PHYSICIAN PRACTICE MANAGEMENT, LLC

NPI: 1033578075 · PASSAIC, NJ 07055 · Internal Medicine Physician · NPI assigned 02/18/2016

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

Authorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$257K
Total Medicaid Paid
14,801
Total Claims
12,831
Beneficiaries
28
Codes Billed
2018-04
First Month
2023-11
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (CHIEF COMPLIANCE COUNSEL)
NPI Enumeration Date02/18/2016

Related Entities

Other providers sharing the same authorized official: DOAN, CHRISTOPHER

ProviderCityStateTotal Paid
DESERT VALLEY HOSPITAL, LLC VICTORVILLE CA $92.81M
PRIME HEALTHCARE SERVICES - ST MICHAELS LLC NEWARK NJ $67.67M
PRIME HEALTHCARE CENTINELA, LLC INGLEWOOD CA $50.16M
NORTH VISTA HOSPITAL LLC NORTH LAS VEGAS NV $31.56M
PRIME HEALTHCARE SERVICES - ST FRANCIS LLC LYNWOOD CA $27.65M
PRIME HEALTHCARE SERVICES LANDMARK LLC WOONSOCKET RI $26.18M
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC RIVERDALE GA $25.96M
PRIME HEALTHCARE SERVICES - SHASTA LLC REDDING CA $22.75M
THE CITY HOSPITAL ASSOCIATION EAST LIVERPOOL OH $16.46M
PRIME HEALTHCARE SERVICES - RENO LLC RENO NV $15.09M
VERITAS HEALTH SERVICES, LLC CHINO CA $14.93M
PRIME HEALTHCARE PARADISE VALLEY LLC CHULA VISTA CA $13.85M
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC COSHOCTON OH $13.32M
PRIME HEALTHCARE PARADISE VALLEY LLC NATIONAL CITY CA $12.56M
ALVARADO HOSPITAL, LLC SAN DIEGO CA $11.46M
PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC MONTCLAIR CA $11.26M
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101 $3K
2019 226 $7K
2020 331 $10K
2021 1,766 $65K
2022 2,846 $83K
2023 9,531 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,475 3,087 $109K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,788 1,904 $74K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 353 310 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 285 280 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 445 405 $7K
43775 75 62 $7K
99205 Prolong outpt/office vis 114 110 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 190 148 $5K
99215 Prolong outpt/office vis 57 53 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 368 283 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 14 $1K
99442 64 55 $702.01
99443 49 46 $679.47
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 39 24 $423.88
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 36 34 $415.25
00812 12 12 $319.83
90686 45 27 $214.16
76813 23 13 $121.91
1126F 930 903 $28.00
3074F 806 768 $28.00
3008F 1,457 1,326 $20.00
3078F 779 744 $20.00
3079F 401 372 $16.00
1160F 1,621 1,495 $4.00
3077F 79 79 $4.00
3075F 145 137 $3.00
3725F 109 99 $0.00
3288F 41 41 $0.00