Medicaid Provider Spending

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

SUMNER PHYSICIAN PRACTICES

NPI: 1093251217 · CARTHAGE, TN 37030 · Obstetrics & Gynecology Physician · NPI assigned 01/11/2017

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$1.24M
Total Medicaid Paid
71,845
Total Claims
56,360
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date01/11/2017

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,578 $96K
2019 7,054 $174K
2020 6,169 $157K
2021 7,538 $223K
2022 20,674 $218K
2023 10,717 $184K
2024 14,115 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,218 10,447 $516K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,426 12,483 $497K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,136 920 $75K
90460 Immunization administration through 18 years of age via any route, first or only component 1,236 976 $40K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 265 221 $25K
99239 Hospital discharge day management, more than 30 minutes 554 467 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,086 1,588 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 165 147 $13K
99232 Subsequent hospital care, per day, moderate complexity 468 180 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 470 400 $5K
81003 3,530 2,411 $5K
99222 Initial hospital care, per day, moderate complexity 191 151 $5K
99221 161 127 $4K
90686 359 303 $3K
90678 16 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 166 54 $1K
83036 Hemoglobin; glycosylated (A1C) 926 730 $1K
87428 25 24 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 57 43 $1K
81025 233 202 $1K
90688 127 91 $909.83
99217 33 28 $763.74
90670 314 244 $671.53
3078F 3,143 2,514 $460.00
99442 51 35 $441.56
3074F 3,213 2,609 $422.95
J1030 Injection, methylprednisolone acetate, 40 mg 230 180 $411.43
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 25 $334.71
90656 29 27 $300.60
3079F 1,072 884 $300.00
90674 17 15 $260.06
90461 574 402 $250.86
G0008 Administration of influenza virus vaccine 369 305 $192.31
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 13 $141.98
99441 26 16 $124.79
3077F 353 271 $90.00
82044 99 69 $86.77
90698 126 79 $55.20
3075F 133 110 $40.00
82962 40 30 $31.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 50 42 $24.13
81002 23 13 $16.86
99173 12 12 $10.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 30 25 $8.38
1160F 3,636 2,932 $0.00
1159F 3,634 2,930 $0.00
90653 75 61 $0.00
0502F 1,335 700 $0.00
90633 12 12 $0.00
3725F 95 85 $0.00
90671 54 48 $0.00
3008F 6,440 5,139 $0.00
0503F 20 15 $0.00
1126F 230 195 $0.00
1034F 1,406 1,092 $0.00
1036F 3,546 2,797 $0.00
90677 35 30 $0.00
1125F 205 153 $0.00
90694 74 59 $0.00
90744 25 25 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
90680 155 112 $0.00
0500F 12 12 $0.00
90697 15 12 $0.00
0501F 14 14 $0.00