Medicaid Provider Spending

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

IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC

NPI: 1104277656 · BRISTOL, TN 37620 · Psychologist · NPI assigned 06/27/2016

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

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

$8.64M
Total Medicaid Paid
1,090,359
Total Claims
685,301
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDABBS, RANDAL (OWNER/PRESIDENT)
NPI Enumeration Date06/27/2016

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
SOUTHEASTERN PHYSICIAN SERVICES PC OAK RIDGE TN $14.64M
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
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 106,604 $637K
2019 172,878 $955K
2020 165,620 $1.06M
2021 211,806 $1.42M
2022 157,325 $1.36M
2023 136,293 $1.65M
2024 139,833 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 378,360 228,414 $3.92M
90832 Psychotherapy, 30 minutes with patient 172,847 78,695 $1.39M
99308 Subsequent nursing facility care, per day, straightforward 182,677 127,976 $1.29M
90837 Psychotherapy, 53 minutes with patient 26,499 14,275 $526K
90792 Psychiatric diagnostic evaluation with medical services 24,779 19,759 $492K
90834 Psychotherapy, 45 minutes with patient 34,443 17,137 $419K
90791 Psychiatric diagnostic evaluation 10,994 8,710 $214K
99349 4,967 3,400 $107K
99306 Prolong nursin fac eval 15m 4,071 2,949 $69K
99310 Prolong nursin fac eval 15m 3,756 2,647 $59K
99305 3,077 2,473 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,410 1,208 $30K
99497 2,807 1,667 $26K
96132 1,219 1,059 $19K
99348 1,013 844 $15K
99307 1,988 1,403 $7K
99483 Prolong outpt/office vis 469 393 $7K
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 2,603 1,577 $5K
99318 293 241 $2K
99335 114 105 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 61 55 $2K
99336 17 16 $1K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 18 14 $1K
99347 120 77 $829.25
96125 67 41 $580.00
99334 71 54 $541.34
99316 35 32 $496.75
99442 115 60 $360.86
96118 22 17 $308.13
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 179,408 121,136 $275.04
99342 16 14 $229.42
99407 31 12 $227.66
99304 41 28 $202.88
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 57 36 $162.97
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 1,285 1,204 $160.55
96116 51 39 $160.00
1123F 16,472 15,614 $159.24
G9903 Patient screened for tobacco use and identified as a tobacco non-user 4,186 4,016 $135.85
1036F 4,212 4,040 $111.15
99441 32 15 $88.35
G0444 Annual depression screening, 5 to 15 minutes 30 28 $70.87
90785 214 126 $62.38
99358 Prolong nursin fac eval 15m 87 51 $61.40
G0127 Trimming of dystrophic nails, any number 84 61 $60.82
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,159 1,133 $37.05
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 13 12 $31.80
G8482 Influenza immunization administered or previously received 2,130 1,907 $15.71
G8510 Screening for depression is documented as negative, a follow-up plan is not required 855 822 $12.35
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 9,928 9,513 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 49 47 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 952 581 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 143 111 $0.00
1101F 48 42 $0.00
1124F 133 121 $0.00
1100F 2,919 2,767 $0.00
3288F 2,816 2,669 $0.00
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 91 61 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 492 468 $0.00
0518F 3,048 2,889 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 132 129 $0.00
G8484 Influenza immunization was not administered, reason not given 116 103 $0.00
G9368 At least two orders for high-risk medications from the same drug class not ordered 217 208 $0.00