Medicaid Provider Spending

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

PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC

NPI: 1063719318 · PUNTA GORDA, FL 33950 · Physician Assistant · NPI assigned 02/23/2011

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

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$159K
Total Medicaid Paid
7,199
Total Claims
4,769
Beneficiaries
22
Codes Billed
2019-02
First Month
2022-02
Last Month

Provider Details

Authorized OfficialJACKSON, JENNIFER (SENIOR DIRECTOR PROVIDER ENROLLMENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC.
NPI Enumeration Date02/23/2011

Related Entities

Other providers sharing the same authorized official: JACKSON, JENNIFER

ProviderCityStateTotal Paid
LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM $62.87M
ROSWELL CLINIC CORP ROSWELL NM $14.65M
PECOS VALLEY OF NEW MEXICO, LLC CARLSBAD NM $6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC CORSICANA TX $4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC FLOWOOD MS $2.83M
STATESVILLE HMA MEDICAL GROUP, LLC STATESVILLE NC $2.68M
HEARTLAND COUNSELING SERVICES, INC. SOUTH SIOUX CITY NE $2.31M
MOORESVILLE PPM LLC MOORESVILLE NC $1.35M
SCRANTON QUINCY AMBULANCE LLC SCRANTON PA $1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC SPRING HILL FL $1.14M
INTERMOUNTAIN MEDICAL GROUP, INC KINGSTON PA $1.09M
ROSWELL HOSPITAL CORPORATION ROSWELL NM $714K
WOODWARD CLINIC COMPANY, LLC WOODWARD OK $598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC BILOXI MS $585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC EL DORADO AR $495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC CUDJOE KEY FL $406K
MOORESVILLE PPM LLC MOORESVILLE NC $385K
HEARTLAND COUNSELING SERVICES, INC. ONEILL NE $295K
NORTHWEST CARDIOLOGY LLC TUCSON AZ $265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC RONCEVERTE WV $224K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 606 $15K
2020 2,940 $49K
2021 3,414 $87K
2022 239 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 2,298 512 $55K
99223 Prolong inpt eval add15 m 343 216 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 580 508 $26K
99239 Hospital discharge day management, more than 30 minutes 179 121 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 329 306 $9K
99222 Initial hospital care, per day, moderate complexity 116 109 $9K
99233 Prolong inpt eval add15 m 38 25 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $920.04
99231 Subsequent hospital care, per day, straightforward or low complexity 28 14 $379.00
1159F 951 851 $0.00
1160F 952 851 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 27 26 $0.00
3078F 87 79 $0.00
2014F 13 12 $0.00
1031F 304 264 $0.00
3008F 257 241 $0.00
3074F 215 192 $0.00
2001F 132 123 $0.00
1036F 270 244 $0.00
2010F 40 38 $0.00
3700F 13 12 $0.00
1126F 13 12 $0.00