Medicaid Provider Spending

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

SWEETWATER HOSPITAL ER PHYSICIAN GROUP

NPI: 1083613905 · SWEETWATER, TN 37874 · Emergency Medicine Physician · NPI assigned 07/21/2005

$1.55M
Total Medicaid Paid
46,349
Total Claims
41,483
Beneficiaries
18
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialTHOMPSON, DEBBIE (CFO)
Parent OrganizationSWEETWATER HOSPITAL ASSOCIATION
NPI Enumeration Date07/21/2005

Related Entities

Other providers sharing the same authorized official: THOMPSON, DEBBIE

ProviderCityStateTotal Paid
SWEETWATER HOSPITAL ASSOCIATION SWEETWATER TN $12.94M
WENDY SAINT ROBBINS, PEDIATRIC, PLLC SWEETWATER TN $663K
S&T BEVERLEY, LLC MADISONVILLE TN $224K
CHRISTOPHER S BOWMAN MD PC SWEETWATER TN $121K
SWEETWATER HOSPITAL ASSOCIATION SWEETWATER TN $80K
SWEETWATER HOSPITAL ASSOCIATION SWEETWATER TN $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,035 $397K
2019 10,176 $366K
2020 5,395 $227K
2021 11,062 $318K
2022 8,681 $238K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 12,099 11,243 $677K
99283 Emergency department visit for the evaluation and management, moderate severity 8,957 8,296 $475K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,051 3,663 $161K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,713 2,538 $123K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,196 1,015 $49K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 945 787 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 960 738 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 672 225 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 250 164 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 59 51 $1K
S9088 Services provided in an urgent care center (list in addition to code for service) 2,369 1,937 $285.46
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,512 1,183 $246.47
G8783 Normal blood pressure reading documented, follow-up not required 3,969 3,608 $0.03
G9744 Patient not eligible due to active diagnosis of hypertension 2,654 2,440 $0.02
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,243 2,030 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 158 134 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 1,521 1,410 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 21 21 $0.00