Medicaid Provider Spending

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

SOUTHEASTERN PHYSICIAN SERVICES PC

NPI: 1083835441 · OAK RIDGE, TN 37830 · Internal Medicine Physician · NPI assigned 05/02/2007

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

Authorized official DABBS, RANDAL controls 20+ related entities in our dataset. Read more

$14.64M
Total Medicaid Paid
560,576
Total Claims
279,698
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDABBS, RANDAL (PRESIDENT)
NPI Enumeration Date05/02/2007

Related Entities

Other providers sharing the same authorized official: DABBS, RANDAL

ProviderCityStateTotal Paid
ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH SC $81.34M
HEALTH CARE ALLIANCE, INC. BECKLEY WV $25.07M
SOUTHEASTERN EMERGENCY SERVICES P C ATHENS TN $21.67M
GREENBRIER EMERGENCY SERVICES, INC. GASSAWAY WV $18.20M
EMERGENCY SERVICES OF MONTGOMERY PC PRATTVILLE AL $13.70M
INPATIENT CONSULTANTS OF NORTH CAROLINA, PC CHARLOTTE NC $12.34M
SOUTHEASTERN INTENSIVIST SERVICES PC WEST MEMPHIS AR $11.52M
EMERGENCY COVERAGE SERVICES, PC LAWRENCEBURG TN $11.42M
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC BRISTOL TN $8.64M
ACS EMERGENCY PHYSICIANS OF SC PC BEAUFORT SC $4.53M
SOUTHEASTERN EMERGENCY SERVICES OF MEMPHIS, P.C. CHATTANOOGA TN $3.75M
HOSPITAL MEDICINE SERVICES OF TENNESSEE PC LAWRENCEBURG IN $3.73M
ACS PRIMARY CARE PHYSICIANS-MIDWEST LEXINGTON KY $3.55M
ACS EMERGENCY SERVICES OF MISSISSIPPI PROFESSIONAL ASSOCIATION CLEVELAND MS $3.10M
IPC PAC HEALTHCARE SERVICES OF MISSOURI INC SAINT LOUIS MO $1.47M
CHEROKEE EMERGENCY SERVICES, INC. BECKLEY WV $853K
SOUTH CAROLINA POST ACUTE MEDICAL SERVICES 1 PC WOODRUFF SC $776K
INPATIENT CONSULTANTS OF ALABAMA, INC MOBILE AL $554K
SMOKY MOUNTAIN EMERGENCY SERVICES, INC. DANIELS WV $347K
SOUTHEASTERN MEDICAL GROUP, PC BREVARD NC $316K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74,828 $1.69M
2019 72,555 $1.71M
2020 56,433 $1.58M
2021 78,085 $2.20M
2022 86,870 $2.29M
2023 106,128 $2.84M
2024 85,677 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 228,094 91,380 $5.64M
99232 Subsequent hospital care, per day, moderate complexity 184,121 67,218 $3.52M
99223 Prolong inpt eval add15 m 61,114 50,680 $2.98M
99239 Hospital discharge day management, more than 30 minutes 55,280 46,465 $1.55M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,895 2,066 $327K
99222 Initial hospital care, per day, moderate complexity 3,739 3,226 $164K
99497 10,579 8,253 $157K
99220 1,394 1,092 $66K
99238 Hospital discharge day management, 30 minutes or less 2,565 2,181 $57K
99254 592 550 $51K
99221 1,415 1,181 $43K
99253 575 507 $31K
99217 1,184 972 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 511 260 $7K
99406 1,509 1,135 $5K
90791 Psychiatric diagnostic evaluation 66 61 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,136 869 $4K
99244 Office or other outpatient consultation, moderate to high complexity 25 24 $2K
99226 92 58 $2K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 87 75 $622.64
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 15 $511.39
99407 121 94 $342.67
93018 13 12 $92.50
93016 13 12 $73.11
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 891 865 $0.00
1124F 24 24 $0.00
1123F 525 423 $0.00