Medicaid Provider Spending

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

CRESTWOOD PHYSICIAN SERVICES, LLC

NPI: 1154622520 · HUNTSVILLE, AL 35801 · Family Medicine Physician · NPI assigned 11/16/2010

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

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$1.52M
Total Medicaid Paid
52,023
Total Claims
44,152
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
NPI Enumeration Date11/16/2010

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal Paid
POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO $9.93M
FORT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $1.34M
PORTER HEALTH SERVICES, LLC. VALPARAISO IN $1.28M
WIREGRASS CLINIC LLC DOTHAN AL $697K
MADISON HMA PHYSICIAN MANAGEMENT LLC CANTON MS $677K
SHELBYVILLE CLINIC CORP SHELBYVILLE TN $512K
FRANKLIN CLINIC CORP FRANKLIN VA $369K
TOWN OF SHARON SHARON MA $348K
CLARKSDALE HMA PHYSICIAN MANAGEMENT LLC CLARKSDALE MS $247K
LAKE SHORE HMA MEDICAL GROUP LLC LAKE CITY FL $193K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $186K
CROSSGATES HMA MEDICAL GROUP LLC BRANDON MS $183K
PREFERRED LIVING INC VILLE PLATTE LA $168K
DEACONESS PHYSICIAN SERVICES LLC OKLAHOMA CITY OK $161K
CAROLINAS MEDICAL ALLIANCE INC FLORENCE SC $93K
CAROLINA SURGERY CENTER LLC FORT MILL SC $64K
HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC DAVENPORT FL $28K
BLUEFIELD HBP MEDICAL GROUP LLC BLUEFIELD WV $23K
LAKE WALES CLINIC CORP LAKE WALES FL $20K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,500 $399K
2019 12,664 $438K
2020 9,275 $384K
2021 12,948 $270K
2022 650 $12K
2023 1,213 $11K
2024 2,773 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,107 9,533 $582K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,730 2,300 $179K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,816 2,430 $158K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,782 2,446 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,061 963 $65K
99238 Hospital discharge day management, 30 minutes or less 1,347 1,272 $64K
99460 1,265 1,181 $58K
90670 2,396 2,077 $40K
90698 1,572 1,355 $26K
90460 Immunization administration through 18 years of age via any route, first or only component 485 430 $23K
90680 1,324 1,136 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,783 1,479 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 936 792 $17K
90686 910 835 $16K
90744 780 636 $12K
90685 798 631 $12K
90633 740 612 $12K
99173 2,172 1,912 $8K
90716 436 390 $8K
90707 426 381 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 107 104 $7K
90700 359 331 $6K
99462 224 164 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 286 259 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $3K
36416 1,304 1,024 $3K
90688 127 109 $2K
90461 24 24 $1K
87807 74 56 $561.00
90651 29 28 $534.33
90647 25 25 $494.75
90713 14 14 $277.06
90734 14 12 $237.48
36415 Collection of venous blood by venipuncture 43 39 $54.00
81003 139 52 $30.00
81002 33 13 $21.00
3008F 2,846 2,229 $0.00
3074F 1,649 1,160 $0.00
1036F 1,048 675 $0.00
1126F 62 53 $0.00
3079F 17 12 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 30 29 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 347 285 $0.00
3075F 14 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 19 13 $0.00
3078F 1,427 1,022 $0.00
3725F 74 64 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 108 88 $0.00
1159F 1,783 1,672 $0.00
1160F 1,855 1,740 $0.00
0502F 35 12 $0.00
99051 14 14 $0.00