Medicaid Provider Spending

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

HIDDEN VALLEY MEDICAL CENTER INC

NPI: 1073516621 · BLUE RIDGE, GA 30513 · Family Medicine Physician · NPI assigned 05/27/2005

$1.48M
Total Medicaid Paid
44,545
Total Claims
38,673
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARWOOD, SOPHIA (DIRECTOR PHYSICIAN OPERATIONS)
NPI Enumeration Date05/27/2005

Related Entities

Other providers sharing the same authorized official: ARWOOD, SOPHIA

ProviderCityStateTotal Paid
MARY BLACK PHYSICIANS GROUP LLC SPARTANBURG SC $1.39M
ST JOSEPH MEDICAL GROUP INC FORT WAYNE IN $411K
CENTRE RHC CORP CENTRE AL $163K
AUGUSTA PHYSICIAN SERVICES LLC AUGUSTA GA $120K
DOCTORS HOSPITAL PHYSICIAN SERVICES LLC MASSILLON OH $67K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,635 $341K
2019 10,094 $267K
2020 5,476 $163K
2021 3,952 $151K
2022 4,341 $179K
2023 5,084 $241K
2024 2,963 $136K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,805 14,497 $661K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,028 14,271 $601K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 899 857 $71K
99215 Prolong outpt/office vis 711 617 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,434 1,212 $16K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 527 397 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 568 418 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 362 344 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 769 707 $9K
87428 159 145 $9K
59425 12 12 $5K
99490 Ccm add 20min 748 669 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 219 188 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 624 469 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 61 60 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 73 59 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 79 76 $2K
99284 Emergency department visit for the evaluation and management, high severity 96 30 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 24 24 $801.55
90460 Immunization administration through 18 years of age via any route, first or only component 43 41 $695.10
74177 Computed tomography, abdomen and pelvis; with contrast material 18 15 $683.30
99239 Hospital discharge day management, more than 30 minutes 33 25 $638.47
71046 Radiologic examination, chest; 2 views 141 97 $609.74
71045 Radiologic examination, chest; single view 202 135 $582.73
70450 Computed tomography, head or brain; without contrast material 46 33 $577.12
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 35 $574.39
73562 28 24 $495.55
93000 44 39 $454.45
99443 171 120 $435.95
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $434.43
71250 12 12 $412.17
99233 Prolong inpt eval add15 m 27 12 $371.94
99222 Initial hospital care, per day, moderate complexity 12 12 $317.13
36415 Collection of venous blood by venipuncture 1,279 1,101 $288.41
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 343 254 $260.67
90688 32 28 $177.24
87807 15 15 $176.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 369 314 $158.44
94060 12 12 $121.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 27 25 $100.60
72100 14 12 $85.96
81003 42 37 $69.44
94726 12 12 $66.16
87276 13 12 $64.44
87275 13 12 $64.44
94729 12 12 $41.58
J1885 Injection, ketorolac tromethamine, per 15 mg 37 27 $40.71
3074F 134 122 $0.38
3078F 125 109 $0.29
1036F 128 118 $0.00
3008F 301 261 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 28 26 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 52 40 $0.00
1159F 265 230 $0.00
1160F 265 230 $0.00