Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › SPRINGDALE › NORTHWEST PHYSICIANS LLC

NORTHWEST PHYSICIANS LLC

NPI: 1194768721 · SPRINGDALE, AR 72762 · General Practice Physician · NPI assigned 06/13/2006

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$5.81M
Total Medicaid Paid
254,826
Total Claims
186,301
Beneficiaries
121
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date06/13/2006

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M
MEDSTAT LLC WARSAW IN $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,329 $1.44M
2019 40,473 $1.34M
2020 27,235 $754K
2021 35,961 $748K
2022 48,187 $728K
2023 45,278 $601K
2024 19,363 $194K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43,102 31,330 $1.74M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,546 34,185 $1.12M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,297 1,807 $415K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 989 170 $262K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,882 2,378 $217K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,980 2,871 $163K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,657 2,564 $158K
99233 Prolong inpt eval add15 m 5,245 1,190 $156K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,677 2,616 $147K
99480 Subsequent intensive care, per day, low birth weight infant 1,111 235 $108K
99232 Subsequent hospital care, per day, moderate complexity 5,534 1,422 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,834 1,401 $98K
99479 Subsequent intensive care, per day, very low birth weight infant 1,039 149 $97K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,912 4,222 $95K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,974 1,667 $91K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,221 7,187 $88K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,212 1,115 $66K
54150 400 342 $64K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,684 1,862 $61K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 370 262 $59K
99238 Hospital discharge day management, 30 minutes or less 1,798 1,435 $58K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 54 50 $51K
76819 Fetal biophysical profile; without non-stress testing 1,405 579 $40K
76820 541 183 $26K
99215 Prolong outpt/office vis 879 558 $26K
99223 Prolong inpt eval add15 m 563 362 $24K
90670 2,359 2,303 $23K
99468 28 24 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 306 282 $17K
90648 1,540 1,524 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 151 118 $14K
93458 100 79 $14K
90723 1,237 1,226 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 860 311 $10K
87428 187 156 $10K
83655 502 487 $8K
59025 Fetal non-stress test 193 86 $8K
95811 53 38 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,772 1,064 $8K
90633 821 805 $8K
99221 177 159 $8K
93018 301 185 $7K
90686 653 620 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters 48 38 $6K
99222 Initial hospital care, per day, moderate complexity 113 91 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 300 250 $5K
90681 520 509 $5K
90685 509 498 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 171 108 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 223 147 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 128 120 $4K
93000 607 381 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 12 $3K
99188 164 164 $3K
99460 222 205 $2K
87807 192 161 $2K
85018 592 569 $2K
94060 75 53 $2K
88720 219 168 $1K
81025 356 197 $1K
36415 Collection of venous blood by venipuncture 1,186 1,020 $1K
99308 Subsequent nursing facility care, per day, straightforward 72 44 $1K
90698 104 99 $1K
90710 114 109 $1K
99255 12 12 $985.60
90700 96 96 $917.76
90688 61 51 $797.33
90696 81 78 $726.56
87400 88 72 $697.25
99309 Subsequent nursing facility care, per day, low to moderate complexity 20 15 $598.92
90707 58 57 $525.80
94726 74 53 $520.73
90672 42 32 $517.47
90716 55 55 $506.68
85025 Blood count; complete (CBC), automated, and automated differential WBC count 76 69 $438.70
90734 44 44 $420.64
83036 Hemoglobin; glycosylated (A1C) 159 104 $311.28
90651 27 27 $259.07
94729 72 51 $246.28
90680 27 25 $239.00
87430 26 25 $233.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg 298 188 $230.66
90744 21 19 $181.64
90715 12 12 $114.72
J1040 Injection, methylprednisolone acetate, 80 mg 236 137 $42.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $41.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 136 63 $27.66
81003 75 69 $19.46
G0008 Administration of influenza virus vaccine 16 12 $15.45
3078F 7,909 6,458 $10.00
3074F 8,269 6,580 $0.01
3008F 18,824 14,769 $0.01
0502F 9,421 5,592 $0.00
1160F 9,674 7,675 $0.00
1159F 8,343 6,552 $0.00
3077F 2,224 1,614 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,497 952 $0.00
1090F 72 65 $0.00
3725F 95 81 $0.00
3288F 70 65 $0.00
90472 Immunization administration, each additional vaccine (list separately) 29 23 $0.00
1036F 16,596 12,084 $0.00
3079F 2,313 1,771 $0.00
3080F 465 329 $0.00
1126F 864 665 $0.00
1034F 1,089 781 $0.00
1125F 1,075 731 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 693 460 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 245 212 $0.00
3075F 754 591 $0.00
1170F 73 66 $0.00
1101F 15 12 $0.00
0503F 120 76 $0.00
0500F 33 32 $0.00
0501F 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
D1206 Topical application of fluoride varnish 15 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20 18 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 20 16 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 42 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 37 18 $0.00