Medicaid Provider Spending

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

AMG-SOUTHERN TENNESSEE LLC

NPI: 1164789467 · WINCHESTER, TN 37398 · General Practice Physician · NPI assigned 04/12/2012

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

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

$9.29M
Total Medicaid Paid
486,058
Total Claims
375,283
Beneficiaries
168
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date04/12/2012

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 4,136 $115K
2019 5,718 $142K
2020 27,930 $775K
2021 55,849 $1.59M
2022 95,749 $2.03M
2023 127,390 $2.36M
2024 169,286 $2.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 79,546 62,292 $3.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,789 54,714 $2.55M
90460 Immunization administration through 18 years of age via any route, first or only component 12,481 10,545 $527K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,894 5,257 $451K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,965 5,338 $419K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,808 3,054 $233K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,004 2,427 $222K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21,887 19,608 $213K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14,805 6,793 $144K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,015 5,383 $137K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,330 1,058 $108K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,658 2,396 $81K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,996 1,706 $57K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 963 726 $52K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 539 464 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 924 760 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,979 2,711 $39K
0503F 1,056 795 $35K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 28 26 $34K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,033 1,526 $32K
99215 Prolong outpt/office vis 495 405 $32K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 328 291 $29K
96160 4,932 2,437 $27K
99177 4,983 3,837 $26K
59025 Fetal non-stress test 990 570 $26K
59410 34 24 $25K
96127 6,270 4,063 $25K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 292 232 $24K
92558 7,159 5,246 $24K
99381 332 284 $24K
93000 4,880 3,566 $22K
87807 2,194 1,997 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,578 1,411 $21K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 260 194 $20K
31231 258 187 $17K
J0585 Injection, onabotulinumtoxina, 1 unit 25 12 $15K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 244 172 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 587 465 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 355 326 $10K
99205 Prolong outpt/office vis 122 96 $10K
81003 7,344 5,315 $10K
92588 513 313 $9K
76819 Fetal biophysical profile; without non-stress testing 124 51 $8K
95886 103 80 $7K
95117 1,324 453 $6K
92557 368 232 $6K
90715 187 156 $5K
95911 66 52 $5K
99244 Office or other outpatient consultation, moderate to high complexity 93 81 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 69 62 $5K
99335 263 133 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 220 168 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 49 43 $4K
59430 453 378 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 38 27 $3K
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) 708 506 $3K
92550 372 234 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 75 60 $3K
90697 1,248 1,127 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 161 138 $3K
90686 3,146 2,593 $2K
0500F 725 571 $2K
90670 3,131 2,871 $2K
90677 1,067 1,003 $2K
81002 1,328 819 $2K
96380 117 93 $2K
93246 432 328 $2K
90674 221 186 $2K
3074F 20,457 16,230 $2K
99459 160 134 $2K
99245 17 15 $2K
99460 28 25 $2K
3078F 17,175 13,562 $2K
3008F 33,917 26,122 $2K
99238 Hospital discharge day management, 30 minutes or less 35 27 $2K
99406 352 231 $1K
76801 22 12 $1K
90480 42 37 $1K
93018 290 227 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 277 221 $1K
99173 289 205 $1K
52000 38 26 $1K
3079F 7,199 5,639 $1K
99336 53 29 $1K
83655 110 106 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $1K
90380 53 40 $990.00
90756 133 102 $979.20
64493 22 14 $915.26
85018 350 316 $870.66
93016 164 120 $846.48
31575 18 12 $771.63
90707 1,326 1,146 $760.79
90680 1,477 1,353 $755.58
20610 49 28 $687.01
99233 Prolong inpt eval add15 m 47 24 $657.39
99441 77 43 $624.18
90716 1,323 1,152 $545.51
90473 43 39 $542.85
64494 22 14 $489.49
81025 115 84 $478.75
99442 24 16 $475.84
90472 Immunization administration, each additional vaccine (list separately) 27 26 $465.53
94618 32 26 $457.48
90734 162 129 $444.00
36415 Collection of venous blood by venipuncture 420 344 $443.58
51798 176 102 $398.76
3075F 2,858 2,208 $383.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,174 854 $375.48
96161 45 31 $373.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 227 145 $368.96
90633 1,365 1,252 $309.89
90651 136 99 $303.62
3077F 1,349 1,035 $291.84
73562 17 13 $286.39
92552 15 13 $277.02
94664 54 43 $276.53
3080F 760 600 $263.64
20611 17 12 $254.31
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 17 $241.71
90698 672 626 $222.00
64483 15 12 $217.27
94060 41 31 $179.15
99152 56 25 $176.19
94727 37 30 $146.64
90672 230 203 $136.67
36416 123 112 $113.90
94729 43 31 $112.51
83036 Hemoglobin; glycosylated (A1C) 84 66 $70.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 61 39 $60.92
90461 50 33 $45.04
99454 53 38 $39.03
G0008 Administration of influenza virus vaccine 87 65 $38.95
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 29 12 $37.38
1036F 21,210 15,471 $21.24
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $20.10
1159F 20,654 15,424 $0.08
1160F 20,016 14,999 $0.06
1034F 7,596 5,605 $0.02
3293F 426 299 $0.00
3725F 775 596 $0.00
0502F 4,142 2,201 $0.00
3513F 420 294 $0.00
3511F 418 299 $0.00
90648 1,989 1,869 $0.00
3015F 40 38 $0.00
90661 300 270 $0.00
90681 557 520 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 19 15 $0.00
1126F 1,909 1,437 $0.00
90723 1,462 1,370 $0.00
3514F 421 295 $0.00
1035F 1,505 1,155 $0.00
90696 132 107 $0.00
90744 274 252 $0.00
99024 1,184 809 $0.00
1125F 4,397 3,288 $0.00
90620 72 54 $0.00
3294F 193 153 $0.00
0501F 246 206 $0.00
90619 104 77 $0.00
3292F 407 284 $0.00
99000 495 359 $0.00
3512F 424 297 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 72 64 $0.00
90660 23 20 $0.00
90656 13 13 $0.00
90381 37 27 $0.00