Medicaid Provider Spending

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

VAUGHAN PHYSICIAN PRACTICES LLC

NPI: 1063908325 · SELMA, AL 36701 · Obstetrics & Gynecology Physician · NPI assigned 07/10/2018

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

Authorized official MILLER, SARA controls 20+ related entities in our dataset. Read more

$783K
Total Medicaid Paid
28,632
Total Claims
17,937
Beneficiaries
22
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, SARA (DIRECTOR)
NPI Enumeration Date07/10/2018

Related Entities

Other providers sharing the same authorized official: MILLER, SARA

ProviderCityStateTotal Paid
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.41M
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $671K
CASTLEVIEW PHYSICIAN PRACTICE, LLC PRICE UT $654K
MEADOWVIEW PHYSICIAN PRACTICE LLC FLEMINGSBURG KY $564K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $450K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $437K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $380K
PINELAKE PHYSICIAN PRACTICE LLC MAYFIELD KY $236K
MEADOWVIEW PHYSICIAN PRACTICE LLC SHARPSBURG KY $142K
HRMC, LLC LAKE HAVASU CITY AZ $137K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $116K
LITTLE LEAF THERAPY LLC NAMPA ID $108K
DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC GALAX VA $89K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $72K
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC HENDERSON NC $70K
AMG CROCKETT LLC LAWRENCEBURG TN $61K
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC GALAX VA $59K
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $55K
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC LOUISBURG NC $52K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $42K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,180 $6K
2019 7,986 $101K
2020 5,284 $135K
2021 6,153 $115K
2022 4,128 $299K
2023 1,954 $79K
2024 947 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 545 320 $507K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,293 2,169 $110K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,533 1,697 $55K
54150 315 271 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,135 3,498 $34K
81002 13,309 6,913 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 743 503 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60 50 $3K
59025 Fetal non-stress test 444 283 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 26 $3K
87210 862 581 $2K
81025 1,024 788 $2K
H1000 Prenatal care, at-risk assessment 61 31 $960.00
59426 237 172 $491.00
59425 60 40 $281.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 171 105 $156.00
99000 234 178 $45.50
85018 17 12 $33.00
81003 358 159 $15.00
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 27 27 $0.00
59430 108 77 $0.00
88142 58 37 $0.00