Medicaid Provider Spending

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

AMG-SOUTHERN TENNESSEE LLC

NPI: 1093926404 · WINCHESTER, TN 37398 · Surgery Physician · NPI assigned 05/25/2007

$2K
Total Medicaid Paid
52
Total Claims
47
Beneficiaries
2
Codes Billed
2019-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialGRACECY, WILLIAM (COO)
Parent OrganizationAMG-SOUTHERN TENNESSEE LLC
NPI Enumeration Date05/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 52 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 35 33 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 14 $904.54