Physician
Hughston Clinic, P.C.
Hughston Clinic, P.C. was paid $785K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoHUGHSTON CLINIC, P.C.
COLUMBUS, GA 31909
COLUMBUS, GA 31909
33aNPI1164461190assigned 06/05/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$785K
24GClaims28,268
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Georgia
Rank by total paid#2 of 22
Median peer was paid$7K
This provider vs. median114×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,134 | $23K | |
| 2019 | 3,765 | $72K | |
| 2020 | 3,524 | $88K | |
| 2021 | 4,176 | $94K | |
| 2022 | 5,664 | $163K | |
| 2023 | 5,333 | $204K | |
| 2024incomplete | 3,672 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 9,811 | 8,441 | $244K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 4,265 | 3,790 | $229K |
| 20610 | 10% | 3,375 | 2,659 | $81K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 964 | 852 | $80K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.8% | 1,745 | 1,534 | $69K |
| 73562 | 2.5% | 2,269 | 1,753 | $19K | |
| 73090 | 2.0% | 754 | 636 | $16K | |
| 25600 | 1.2% | 48 | 41 | $9K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.1% | 168 | 168 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 231 | 218 | $6K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,143 | 880 | $6K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,598 | 1,300 | $5K |
16 more codes
| 73110 | <1% | 188 | $3K | |
| 73630 | <1% | 125 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 32 | $1K |
| 73610 | <1% | 98 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 16 | $1K |
| 73030 | <1% | 59 | $675.70 | |
| 73130 | <1% | 29 | $571.60 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 118 | $546.94 |
| 72082 | <1% | 13 | $480.43 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 187 | $351.84 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 339 | $335.26 |
| 73590 | <1% | 18 | $261.14 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 323 | $234.86 |
| 71045 | Radiologic examination, chest; single view | <1% | 25 | $37.71 |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | <1% | 309 | $0.30 |
| A4590 | Special casting material (e.g., fiberglass) | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCMEANS, MARLA (SYSTEM DIRECTOR OF CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Hughston Medical Group, PC | Columbus, GA | $33K |
| Hughston Clinic Southeast PC | Columbus, GA | $598.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.