Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › GA › MACON › HEALTH SERVICES OF CENTRAL GEORGIA

HEALTH SERVICES OF CENTRAL GEORGIA

NPI: 1184679482 · MACON, GA 31201 · Pediatrics Physician · NPI assigned 05/24/2006

$18.47M
Total Medicaid Paid
475,875
Total Claims
379,486
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHEELER, PHILIP (CFO)
NPI Enumeration Date05/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66,379 $3.09M
2019 64,580 $2.74M
2020 49,955 $2.03M
2021 58,802 $2.06M
2022 82,889 $2.99M
2023 91,520 $3.38M
2024 61,750 $2.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66,694 60,936 $2.93M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,701 34,278 $2.48M
99215 Prolong outpt/office vis 10,562 8,320 $1.00M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,909 4,684 $747K
97530 Therapeutic activities, direct patient contact, each 15 minutes 16,715 6,241 $721K
76819 Fetal biophysical profile; without non-stress testing 9,965 6,633 $704K
99232 Subsequent hospital care, per day, moderate complexity 22,207 8,550 $690K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20,352 17,694 $618K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 10,983 3,970 $498K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,194 6,219 $440K
99244 Office or other outpatient consultation, moderate to high complexity 3,170 3,098 $428K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,075 7,136 $403K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,496 5,079 $379K
76820 5,367 3,669 $378K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,849 4,664 $372K
99243 3,548 3,432 $349K
99238 Hospital discharge day management, 30 minutes or less 5,794 5,447 $348K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 8,126 3,250 $310K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 71,476 62,336 $290K
90460 Immunization administration through 18 years of age via any route, first or only component 7,626 7,313 $285K
99222 Initial hospital care, per day, moderate complexity 3,033 2,727 $282K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,755 9,874 $270K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,594 1,543 $215K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,875 2,566 $204K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,790 1,183 $195K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,710 1,635 $195K
76825 1,530 1,444 $171K
99231 Subsequent hospital care, per day, straightforward or low complexity 10,199 4,130 $163K
01922 861 728 $139K
99233 Prolong inpt eval add15 m 3,262 1,331 $137K
99223 Prolong inpt eval add15 m 1,189 1,070 $128K
99283 Emergency department visit for the evaluation and management, moderate severity 2,303 2,285 $126K
99242 1,592 1,550 $116K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,443 1,299 $115K
93325 1,223 1,139 $97K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,045 5,509 $95K
99284 Emergency department visit for the evaluation and management, high severity 1,235 1,149 $94K
76818 1,534 853 $92K
96112 919 832 $86K
59025 Fetal non-stress test 2,884 1,070 $76K
99460 955 882 $74K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 925 871 $61K
90837 Psychotherapy, 53 minutes with patient 643 573 $59K
95816 1,942 1,717 $57K
90472 Immunization administration, each additional vaccine (list separately) 3,484 3,184 $46K
83036 Hemoglobin; glycosylated (A1C) 4,367 4,184 $45K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 714 665 $43K
99219 399 385 $43K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,264 1,615 $35K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 584 521 $32K
96101 117 103 $31K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 14 14 $28K
99245 206 190 $26K
93922 1,705 1,401 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple 122 116 $25K
99350 Prolong home eval add 15m 312 109 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,364 1,959 $23K
99254 220 214 $22K
99221 282 245 $21K
99253 473 431 $18K
92526 474 217 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 279 270 $16K
99217 280 266 $16K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,099 2,740 $15K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 37 12 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,361 1,280 $14K
54150 142 138 $13K
00731 164 118 $13K
J1040 Injection, methylprednisolone acetate, 80 mg 2,323 1,981 $13K
90832 Psychotherapy, 30 minutes with patient 334 312 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 147 143 $12K
92133 671 590 $11K
99309 Subsequent nursing facility care, per day, low to moderate complexity 197 164 $11K
95819 210 206 $10K
95251 443 435 $9K
99239 Hospital discharge day management, more than 30 minutes 138 116 $9K
96127 1,829 1,730 $8K
99255 228 176 $8K
99235 42 42 $7K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 65 65 $7K
72082 175 169 $7K
0500F 89 60 $6K
72081 325 313 $6K
81025 823 776 $6K
93880 163 113 $5K
90474 602 558 $5K
73100 360 281 $5K
81003 2,489 2,067 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 496 465 $5K
96161 1,566 1,355 $4K
99205 Prolong outpt/office vis 30 28 $4K
92558 1,398 1,330 $4K
99218 35 35 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 229 137 $3K
99241 74 72 $3K
99051 166 161 $3K
99152 1,246 1,089 $3K
82962 1,264 728 $3K
99308 Subsequent nursing facility care, per day, straightforward 158 103 $2K
99173 1,405 1,304 $2K
99220 15 15 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 44 39 $2K
36415 Collection of venous blood by venipuncture 1,401 1,215 $2K
73070 109 87 $2K
92083 56 52 $2K
96116 26 24 $2K
00813 12 12 $2K
97802 225 214 $2K
73610 99 88 $2K
73521 78 77 $2K
99356 45 26 $2K
99348 122 94 $1K
99422 67 63 $1K
29065 12 12 $1K
87428 20 20 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,476 2,146 $1K
73560 56 52 $1K
76770 15 15 $1K
99225 24 24 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 24 24 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 42 37 $982.66
99050 51 51 $952.00
99310 Prolong nursin fac eval 15m 17 13 $948.88
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19 15 $932.83
36902 53 33 $914.46
99307 79 53 $856.60
83655 118 115 $851.11
94760 348 314 $836.10
51798 171 137 $766.97
20611 15 13 $722.77
77073 26 26 $677.40
20610 18 12 $630.31
99201 17 17 $612.56
J0696 Injection, ceftriaxone sodium, per 250 mg 572 452 $593.52
92250 44 24 $484.79
90686 2,768 2,608 $442.66
J1010 Injection, methylprednisolone acetate, 1 mg 131 122 $426.28
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 35 33 $393.69
97803 26 26 $381.33
71045 Radiologic examination, chest; single view 90 89 $318.30
77001 92 78 $274.94
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 73 58 $253.35
77067 Screening mammography, bilateral, including computer-aided detection 35 35 $232.89
96160 146 133 $212.66
87400 16 16 $200.86
99188 12 12 $199.46
73562 15 15 $188.60
99177 236 218 $183.60
77063 Screening digital breast tomosynthesis, bilateral 35 35 $181.77
94010 13 13 $137.34
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 12 $133.20
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14 12 $115.68
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 12 $115.68
94727 12 12 $115.45
92551 106 102 $94.56
94729 13 13 $83.79
76937 28 25 $80.54
99417 Prolong home eval add 15m 22 21 $75.60
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 28 12 $73.38
3078F 1,035 825 $50.00
85018 14 14 $42.92
90670 2,475 2,355 $0.70
2015F 143 131 $0.52
90723 1,648 1,547 $0.39
90647 1,399 1,324 $0.23
90633 444 414 $0.23
90688 85 85 $0.12
90685 32 29 $0.04
3074F 784 624 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 749 565 $0.00
99024 7,592 5,192 $0.00
90677 169 154 $0.00
1170F 743 584 $0.00
G0008 Administration of influenza virus vaccine 104 92 $0.00
1125F 184 172 $0.00
1036F 793 609 $0.00
3044F 337 262 $0.00
1101F 451 334 $0.00
3075F 185 146 $0.00
3079F 197 159 $0.00
3008F 1,640 1,339 $0.00
3061F 154 107 $0.00
3017F 320 221 $0.00
1126F 146 133 $0.00
90656 72 66 $0.00
G8432 Depression screening not documented, reason not given 13 12 $0.00
90680 641 590 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 24 24 $0.00
3014F 255 177 $0.00
90651 181 172 $0.00
99441 111 105 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 42 42 $0.00
3351F 19 14 $0.00
1111F 15 13 $0.00
90696 27 27 $0.00
90710 179 174 $0.00
90715 28 28 $0.00
G8484 Influenza immunization was not administered, reason not given 53 51 $0.00
1160F 1,286 1,035 $0.00
1159F 1,400 1,127 $0.00
99442 201 161 $0.00
90734 131 129 $0.00
1100F 13 13 $0.00
4004F 16 13 $0.00
90681 130 125 $0.00
99053 96 94 $0.00
99499 39 34 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 59 56 $0.00
99397 17 17 $0.00
3077F 33 26 $0.00
99358 Prolong nursin fac eval 15m 30 17 $0.00
90662 18 14 $0.00