Lebanon Hma Physician Management LLC

Lebanon Hma Physician Management LLC was paid $190K by Medicaid between Jan 2018 and Jul 2019, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoLEBANON HMA PHYSICIAN MANAGEMENT LLC
LEBANON, TN 37087

33aNPI1093768137assigned 05/18/2006

33bProvider typeInternal Medicine Physician

28Total paid$190K

24GClaims8,184

24DCodes billed19

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#113 of 581

Median peer was paid$15K

This provider vs. median13×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	5,054	$107K
2019	3,130	$83K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	88%	5,695	3,965	$167K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	9.3%	344	252	$18K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	165	134	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	61	51	$844.94
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	59	41	$727.52
36415	Collection of venous blood by venipuncture	<1%	887	687	$683.60
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	62	52	$456.78
80305		<1%	95	79	$369.02
83036	Hemoglobin; glycosylated (A1C)	<1%	221	167	$301.71
90688		<1%	48	33	$211.31
81003		<1%	188	148	$196.22
81002		<1%	154	131	$194.31

7 more codes

G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	25	$167.04
99232	Hospital visit by a doctor, follow-up day	<1%	44	$103.29
90686		<1%	18	$98.15
81025		<1%	16	$64.62
1170F		<1%	28	$40.00
G0008	Administration of influenza virus vaccine	0%	46	$0.00
1090F		0%	28	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGINGRAS, MICHAEL (VICE PRESIDENT)

Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC

Same official

Other billing entities under GINGRAS, MICHAEL

Full network →

Provider	Location	Paid
Durant Hma Physician Management, LLC	Durant, OK	$6.90M
Midwest City Hma Physician Management, LLC	Midwest City, OK	$2.41M
Tullahoma Hma Physician Management, LLC	Tullahoma, TN	$2.25M
Chester Medical Group, LLC	Chester, SC	$960K
Williamson Hma Physician Management LLC	Williamson, WV	$174K
Kennett Hma Physician Management, LLC	Kennett, MO	$32K
Starke Hma Medical Group LLC	Starke, FL	$6K
Live Oak Hma Medical Group, LLC	Live Oak, FL	$3K
FT Smith Hma PBC Management, LLC	Fort Smith, AR	$2K
FT Smith Hma PBC Management, LLC	Spiro, OK	$865.40
Punta Gorda Hma Physician Management LLC	Punta Gorda, FL	$490.68
Jamestown Hma Physician Management LLC	Jamestown, TN	$373.05

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.