Medicaid Provider Spending

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

ST MARY'S PHYSICIAN SERVICES LLC

NPI: 1124084991 · RUSSELLVILLE, AR 72801 · Internal Medicine Physician · NPI assigned 04/21/2006

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

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

$12.06M
Total Medicaid Paid
681,469
Total Claims
573,192
Beneficiaries
148
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date04/21/2006

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 52,859 $1.62M
2019 59,086 $1.72M
2020 56,333 $1.46M
2021 107,853 $2.10M
2022 145,380 $2.06M
2023 172,143 $1.84M
2024 87,815 $1.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 134,976 118,078 $4.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,608 50,857 $3.06M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16,291 14,854 $861K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,112 12,712 $727K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 5,015 4,000 $389K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,623 5,951 $342K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,727 2,510 $336K
87631 2,397 2,246 $193K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,055 6,927 $178K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,845 3,259 $137K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,846 3,259 $137K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,865 3,294 $134K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,379 2,039 $115K
90670 10,311 9,501 $106K
90698 8,225 7,399 $91K
90680 8,989 7,877 $91K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,820 1,725 $82K
99223 Prolong inpt eval add15 m 800 689 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,208 991 $50K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,303 5,489 $50K
90686 4,443 3,868 $50K
90633 4,509 3,913 $45K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,069 594 $39K
90697 2,986 2,311 $35K
90707 3,212 2,815 $33K
90716 3,177 2,799 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,232 2,950 $32K
90744 3,035 2,842 $31K
93000 4,243 3,568 $30K
99232 Subsequent hospital care, per day, moderate complexity 1,514 645 $28K
93018 1,160 893 $25K
99238 Hospital discharge day management, 30 minutes or less 515 474 $22K
90671 2,382 1,550 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 128 123 $17K
J0696 Injection, ceftriaxone sodium, per 250 mg 532 404 $17K
86780 1,071 959 $17K
90674 1,571 1,114 $16K
99215 Prolong outpt/office vis 200 190 $16K
90677 1,272 1,211 $15K
87086 Culture, bacterial; quantitative colony count, urine 1,615 1,421 $15K
0002A 332 325 $14K
0072A 149 146 $14K
93016 1,155 892 $12K
0071A 128 127 $12K
88720 1,751 1,440 $12K
71046 Radiologic examination, chest; 2 views 630 532 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 367 318 $11K
81025 1,728 1,294 $10K
0001A 284 283 $10K
80053 Comprehensive metabolic panel 1,534 1,321 $8K
94060 413 374 $8K
90688 883 839 $8K
87653 232 179 $8K
83655 440 429 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 254 225 $7K
59025 Fetal non-stress test 134 50 $6K
90648 562 559 $5K
90723 535 531 $5K
87660 251 221 $5K
87510 251 221 $5K
87480 251 221 $5K
90734 416 361 $5K
80061 Lipid panel 563 482 $4K
90651 399 328 $4K
86803 228 201 $4K
99233 Prolong inpt eval add15 m 223 71 $3K
73560 266 168 $3K
86762 170 157 $3K
90696 239 220 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 100 92 $3K
87340 241 213 $3K
99201 170 146 $3K
69210 71 70 $2K
99460 30 24 $2K
90619 175 133 $2K
93458 13 12 $2K
83036 Hemoglobin; glycosylated (A1C) 323 278 $2K
86901 185 171 $2K
90661 170 156 $2K
99308 Subsequent nursing facility care, per day, straightforward 161 101 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 55 53 $2K
86850 263 242 $2K
99205 Prolong outpt/office vis 31 28 $2K
D1206 Topical application of fluoride varnish 111 106 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 205 193 $2K
99222 Initial hospital care, per day, moderate complexity 25 24 $2K
90715 104 94 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 318 287 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,914 2,468 $1K
82947 305 276 $1K
99188 85 68 $1K
81001 297 270 $1K
84443 Thyroid stimulating hormone (TSH) 43 41 $1K
90685 109 107 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24 21 $949.83
G0008 Administration of influenza virus vaccine 146 130 $880.65
99231 Subsequent hospital care, per day, straightforward or low complexity 127 46 $824.18
J1050 Injection, medroxyprogesterone acetate, 1 mg 15 13 $778.43
93227 30 27 $756.50
73562 34 25 $727.41
87210 252 133 $723.87
83525 44 42 $702.62
86900 186 171 $676.03
99309 Subsequent nursing facility care, per day, low to moderate complexity 39 36 $628.13
94729 249 224 $624.60
71020 19 17 $598.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 95 77 $578.16
20610 25 12 $570.71
90656 61 61 $549.67
84439 43 41 $540.96
73020 59 36 $522.64
73110 16 12 $468.00
80050 General health panel 13 12 $340.69
80048 Basic metabolic panel (calcium, ionized) 49 38 $290.16
94150 101 95 $290.00
36415 Collection of venous blood by venipuncture 1,626 1,404 $265.91
85014 77 74 $246.74
85018 77 74 $246.74
0004A 13 13 $240.00
0012A 20 20 $200.00
0011A 22 22 $200.00
G0315 Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) 505 353 $170.94
90380 13 12 $144.54
99239 Hospital discharge day management, more than 30 minutes 24 15 $102.26
G0312 Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) 295 202 $73.26
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21 13 $61.73
3074F 25,574 20,116 $50.03
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 66 31 $40.38
3078F 21,208 16,988 $40.10
3079F 4,814 3,535 $30.01
1160F 75,269 59,910 $28.49
3077F 540 407 $10.00
82043 12 12 $8.27
3008F 82,568 67,091 $0.34
1126F 6,510 5,055 $0.01
1036F 47,272 38,956 $0.01
90460 Immunization administration through 18 years of age via any route, first or only component 22,755 18,931 $0.00
1159F 2,597 2,279 $0.00
90461 17,140 14,291 $0.00
3725F 84 55 $0.00
96160 12 12 $0.00
97803 13 12 $0.00
1125F 5,942 4,585 $0.00
3075F 674 522 $0.00
97802 501 425 $0.00
3044F 15 13 $0.00
96127 37 13 $0.00
3080F 13 13 $0.00