Medicaid Provider Spending

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

ALABAMA POST-ACUTE MEDICAL SERVICE 1 PC

NPI: 1073052403 · PHENIX CITY, AL 36869 · Hospitalist Physician · NPI assigned 02/17/2017

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

Authorized official HOLTZCLAW, STEPHEN controls 19+ related entities in our dataset. Read more

$749K
Total Medicaid Paid
204,851
Total Claims
135,432
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOLTZCLAW, STEPHEN (PRESIDENT/OWNER)
NPI Enumeration Date02/17/2017

Related Entities

Other providers sharing the same authorized official: HOLTZCLAW, STEPHEN

ProviderCityStateTotal Paid
GREATER ROCHESTER IMMEDIATE MEDICAL CARE, PLLC ROCHESTER NY $5.18M
CONNECTICUT POST ACUTE MEDICAL SERVICES 1 PC DERBY CT $5.08M
NEW CENTURY PHYSICIANS OF IOWA PC COUNCIL BLUFFS IA $4.96M
INPATIENT MEDICAL SERVICES, INC. HUDSON OH $2.44M
NEW CENTURY PHYSICIANS OF NEBRASKA LLC OMAHA NE $914K
MASSACHUSETTS POST ACUTE MEDICAL SERVICES 1 PC ANNAPOLIS MD $855K
NEW CENTURY PHYSICIANS OF NEBRASKA LLC PAPILLION NE $459K
MARYLAND POST ACUTE MEDICAL SERVICES 1 PC ANNAPOLIS MD $94K
EXIGENCE HOSPITALIST MEDICAL SERVICES OF LEWISTON, PLLC LEWISTON NY $64K
DHP OF NORTH CAROLINA PC NEW BERN NC $63K
JAMESTOWN PHYSICIAN SERVICES OF NY PC JAMESTOWN NY $49K
MC HOSPITALISTS PC OWOSSO MI $26K
MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, P.C. BEL AIR MD $23K
HIALEAH ANESTHESIA SPECIALISTS LLC HIALEAH FL $14K
NEW HAMPSHIRE POST ACUTE MEDICAL SERVICES 1 PC NASHUA NH $8K
EMERGENCY MEDICINE OF RACINE SC MOUNT PLEASANT WI $869.54
DHP OF PIEDMONT PC FAYETTEVILLE GA $633.60
IPC HOSPITALISTS OF NEW ENGLAND PC SPRINGFIELD MA $468.82
PORTLAND ANESTHESIA SPECIALISTS LLC PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,821 $106K
2019 28,426 $88K
2020 33,558 $104K
2021 30,247 $118K
2022 25,073 $110K
2023 22,396 $108K
2024 24,330 $116K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 83,171 49,720 $469K
99308 Subsequent nursing facility care, per day, straightforward 47,946 35,450 $191K
90832 Psychotherapy, 30 minutes with patient 18,239 8,083 $32K
90792 Psychiatric diagnostic evaluation with medical services 2,992 2,716 $25K
99310 Prolong nursin fac eval 15m 2,002 1,560 $12K
99305 800 703 $8K
99306 Prolong nursin fac eval 15m 326 252 $5K
90791 Psychiatric diagnostic evaluation 725 672 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 974 716 $2K
99307 458 413 $1K
90834 Psychotherapy, 45 minutes with patient 893 574 $697.14
99318 144 143 $384.44
99497 186 167 $258.55
99366 40 30 $13.10
G8482 Influenza immunization administered or previously received 1,908 1,829 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 31,404 19,883 $0.00
0518F 1,696 1,676 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 55 53 $0.00
1100F 1,594 1,575 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 78 78 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 196 195 $0.00
3288F 1,591 1,572 $0.00
G9368 At least two orders for high-risk medications from the same drug class not ordered 176 176 $0.00
1124F 902 893 $0.00
G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present 77 74 $0.00
4004F 13 13 $0.00
G9692 Hospice services received by patient any time during the measurement period 19 19 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 154 154 $0.00
G8484 Influenza immunization was not administered, reason not given 173 164 $0.00
3045F 16 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 459 457 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 587 587 $0.00
1101F 84 83 $0.00
1123F 3,762 3,727 $0.00
1036F 442 442 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 76 76 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 442 442 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 14 14 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 25 23 $0.00
3044F 12 12 $0.00