Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DURANT HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1043361116 · DURANT, OK 74701 · Obstetrics & Gynecology Physician · NPI assigned 01/16/2007

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

Authorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more

$6.90M
Total Medicaid Paid
126,112
Total Claims
114,970
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date01/16/2007

Related Entities

Other providers sharing the same authorized official: GINGRAS, MICHAEL

ProviderCityStateTotal Paid
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC MIDWEST CITY OK $2.41M
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC TULLAHOMA TN $2.25M
CHESTER MEDICAL GROUP, LLC CHESTER SC $960K
LEBANON HMA PHYSICIAN MANAGEMENT LLC LEBANON TN $190K
WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC WILLIAMSON WV $174K
KENNETT HMA PHYSICIAN MANAGEMENT, LLC KENNETT MO $32K
STARKE HMA MEDICAL GROUP LLC STARKE FL $6K
LIVE OAK HMA MEDICAL GROUP, LLC LIVE OAK FL $3K
FT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $2K
FT SMITH HMA PBC MANAGEMENT, LLC SPIRO OK $865.40
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC PUNTA GORDA FL $490.68
JAMESTOWN HMA PHYSICIAN MANAGEMENT LLC JAMESTOWN TN $373.05

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,882 $765K
2019 25,949 $1.09M
2020 14,832 $750K
2021 12,081 $727K
2022 16,634 $1.14M
2023 19,090 $1.47M
2024 18,644 $954K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,259 41,039 $2.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,723 12,785 $991K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 390 390 $721K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,762 5,761 $480K
99232 Subsequent hospital care, per day, moderate complexity 10,407 5,169 $363K
99222 Initial hospital care, per day, moderate complexity 3,111 3,001 $206K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,531 1,531 $186K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,448 1,402 $123K
99238 Hospital discharge day management, 30 minutes or less 2,900 2,825 $118K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 929 929 $107K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,458 2,430 $65K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,531 1,504 $61K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 627 627 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,450 1,413 $57K
62323 961 928 $55K
76801 502 499 $51K
99223 Prolong inpt eval add15 m 507 484 $49K
99233 Prolong inpt eval add15 m 765 408 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,138 3,106 $45K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,100 1,098 $41K
90472 Immunization administration, each additional vaccine (list separately) 762 759 $37K
99239 Hospital discharge day management, more than 30 minutes 457 435 $30K
99460 342 342 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,587 1,565 $27K
59510 12 12 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,678 1,595 $22K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 124 124 $21K
20610 613 596 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 488 487 $19K
51798 2,439 2,420 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 199 195 $16K
99221 296 283 $15K
76830 Ultrasound, transvaginal 158 157 $14K
87428 188 181 $14K
42820 Tonsillectomy and adenoidectomy; younger than age 12 43 42 $11K
69421 54 53 $10K
87807 795 777 $9K
99152 1,085 1,052 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 153 153 $9K
90670 920 920 $8K
80305 590 572 $6K
81025 657 656 $5K
99462 109 91 $4K
99406 334 323 $4K
73560 173 154 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 433 425 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,019 896 $4K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 542 542 $3K
90715 108 108 $3K
99215 Prolong outpt/office vis 26 24 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 297 292 $3K
90686 472 472 $3K
92567 149 146 $2K
52000 13 13 $2K
90716 127 127 $2K
36415 Collection of venous blood by venipuncture 570 526 $1K
90723 498 498 $1K
90698 294 294 $1K
99308 Subsequent nursing facility care, per day, straightforward 59 59 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $1K
81001 343 337 $960.00
62321 12 12 $951.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 125 124 $914.61
90688 46 46 $756.16
81003 371 362 $668.19
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $647.52
90648 542 542 $626.67
99201 15 15 $558.83
99218 20 20 $558.62
73630 14 13 $381.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg 494 488 $361.04
90707 131 131 $358.38
90680 302 302 $332.10
J1010 Injection, methylprednisolone acetate, 1 mg 25 24 $283.47
93000 13 12 $160.09
99307 14 14 $152.00
93018 13 13 $109.24
99231 Subsequent hospital care, per day, straightforward or low complexity 30 13 $101.40
96160 168 168 $50.98
J1885 Injection, ketorolac tromethamine, per 15 mg 29 27 $43.48
81000 13 13 $40.92
J0696 Injection, ceftriaxone sodium, per 250 mg 43 41 $36.80
90685 109 109 $1.09
90633 164 164 $0.96
90681 144 144 $0.81
3074F 1,322 1,246 $0.00
1036F 1,611 1,487 $0.00
3079F 349 337 $0.00
3008F 2,038 1,892 $0.00
1034F 122 110 $0.00
3075F 16 14 $0.00
3080F 14 14 $0.00
1035F 14 14 $0.00
3078F 1,031 975 $0.00
3077F 15 14 $0.00