Medicaid Provider Spending

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

HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC

NPI: 1174976492 · HOT SPRINGS, AR 71913 · Family Medicine Physician · NPI assigned 07/21/2016

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

Authorized official SOUTHERLAND, BRENDA controls 11+ related entities in our dataset. Read more

$421K
Total Medicaid Paid
25,003
Total Claims
21,376
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSOUTHERLAND, BRENDA (BUSINESS OFFICE MANAGER)
NPI Enumeration Date07/21/2016

Related Entities

Other providers sharing the same authorized official: SOUTHERLAND, BRENDA

ProviderCityStateTotal Paid
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $2.12M
HEALTHSTAR PHYSICIANS OF HOT SPRINGS GLENWOOD AR $1.62M
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $1.08M
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $311K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $237K
FIRST CARE FAMILY MEDICINE-MENA PLLC MENA AR $139K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $136K
HEALTHSTAR PHYSICIANS PRACTICE MANAGEMENT PLLC HOT SPRINGS AR $32K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $18K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $12K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC PEARCY AR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,465 $60K
2019 2,246 $53K
2020 2,591 $84K
2021 3,001 $86K
2022 4,363 $56K
2023 5,417 $53K
2024 3,920 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,759 4,733 $223K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,367 4,550 $143K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 114 108 $13K
99232 Subsequent hospital care, per day, moderate complexity 160 114 $8K
99233 Prolong inpt eval add15 m 81 63 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 142 107 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 107 83 $5K
99215 Prolong outpt/office vis 79 46 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 960 818 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46 39 $2K
99223 Prolong inpt eval add15 m 28 28 $2K
90688 88 74 $848.81
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 13 $703.90
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $648.71
90686 40 39 $547.65
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $542.76
99222 Initial hospital care, per day, moderate complexity 15 13 $466.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 45 38 $433.32
36415 Collection of venous blood by venipuncture 698 614 $286.71
0012A 15 15 $228.39
90670 26 16 $133.84
87081 14 14 $132.58
G0008 Administration of influenza virus vaccine 29 25 $123.60
80061 Lipid panel 33 27 $110.92
90680 21 13 $95.60
3079F 505 472 $30.02
3074F 820 752 $30.00
83036 Hemoglobin; glycosylated (A1C) 12 12 $13.87
1036F 1,638 1,330 $0.20
3008F 1,932 1,715 $0.05
1160F 1,815 1,598 $0.04
1159F 1,807 1,591 $0.03
1101F 419 355 $0.02
3078F 677 617 $0.01
1090F 280 243 $0.01
3725F 67 64 $0.01
1125F 360 330 $0.00
1126F 137 127 $0.00
1034F 213 187 $0.00
1170F 224 190 $0.00
3075F 53 53 $0.00
G0444 Annual depression screening, 5 to 15 minutes 31 31 $0.00
3288F 75 66 $0.00
3077F 28 27 $0.00