Medicaid Provider Spending

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

MISSISSIPPI HMA HOSPITALISTS, LLC

NPI: 1154608883 · JACKSON, MS 39204 · Diagnostic Radiology Physician · NPI assigned 11/09/2011

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$1.29M
Total Medicaid Paid
51,168
Total Claims
22,444
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC.
NPI Enumeration Date11/09/2011

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,656 $263K
2019 11,863 $284K
2020 12,102 $328K
2021 8,079 $254K
2022 4,928 $107K
2023 4,110 $40K
2024 430 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 32,070 10,364 $770K
99222 Initial hospital care, per day, moderate complexity 3,458 3,046 $163K
99238 Hospital discharge day management, 30 minutes or less 4,096 3,538 $91K
99233 Prolong inpt eval add15 m 2,710 976 $90K
99223 Prolong inpt eval add15 m 1,694 1,288 $83K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,303 2,007 $64K
99239 Hospital discharge day management, more than 30 minutes 1,009 827 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 536 232 $6K
99307 157 71 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 71 39 $719.69
99217 26 25 $379.06
99306 Prolong nursin fac eval 15m 17 16 $279.08
99308 Subsequent nursing facility care, per day, straightforward 21 15 $103.93