Medicaid Provider Spending

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

HMG PHYSICIANS, LLC

NPI: 1083958318 · BATON ROUGE, LA 70806 · Family Medicine Physician · NPI assigned 11/27/2012

$766K
Total Medicaid Paid
59,884
Total Claims
34,766
Beneficiaries
32
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialBANDA, VENKAT (MANAGER)
NPI Enumeration Date11/27/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59,866 $765K
2019 18 $731.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 14,397 4,955 $291K
99308 Subsequent nursing facility care, per day, straightforward 25,045 14,749 $173K
99233 Prolong inpt eval add15 m 2,731 1,295 $76K
99223 Prolong inpt eval add15 m 1,116 1,024 $60K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,343 2,749 $44K
90792 Psychiatric diagnostic evaluation with medical services 898 778 $43K
99239 Hospital discharge day management, more than 30 minutes 1,054 996 $31K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,526 609 $15K
99238 Hospital discharge day management, 30 minutes or less 563 502 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 679 475 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 875 626 $4K
99306 Prolong nursin fac eval 15m 79 65 $3K
99222 Initial hospital care, per day, moderate complexity 144 131 $2K
99220 12 12 $708.75
99307 153 142 $616.02
G0179 Physician or allowed practitioner re-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 57 56 $586.36
99305 51 47 $578.73
99091 42 39 $114.60
90834 Psychotherapy, 45 minutes with patient 28 12 $98.99
99487 Ccm add 20min 13 12 $88.70
99217 13 12 $41.40
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 13 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 422 372 $0.00
1123F 135 116 $0.00
99318 43 39 $0.00
99406 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,079 1,921 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 2,404 2,150 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 456 405 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 223 198 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 255 240 $0.00
90791 Psychiatric diagnostic evaluation 19 13 $0.00