Medicaid Provider Spending

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

LAKE SHORE HMA MEDICAL GROUP LLC

NPI: 1215256458 · LAKE CITY, FL 32055 · Orthopaedic Surgery Physician · NPI assigned 05/27/2010

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

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$193K
Total Medicaid Paid
7,342
Total Claims
5,993
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
NPI Enumeration Date05/27/2010

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal Paid
POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO $9.93M
CRESTWOOD PHYSICIAN SERVICES, LLC HUNTSVILLE AL $1.52M
FORT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $1.34M
PORTER HEALTH SERVICES, LLC. VALPARAISO IN $1.28M
WIREGRASS CLINIC LLC DOTHAN AL $697K
MADISON HMA PHYSICIAN MANAGEMENT LLC CANTON MS $677K
SHELBYVILLE CLINIC CORP SHELBYVILLE TN $512K
FRANKLIN CLINIC CORP FRANKLIN VA $369K
TOWN OF SHARON SHARON MA $348K
CLARKSDALE HMA PHYSICIAN MANAGEMENT LLC CLARKSDALE MS $247K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $186K
CROSSGATES HMA MEDICAL GROUP LLC BRANDON MS $183K
PREFERRED LIVING INC VILLE PLATTE LA $168K
DEACONESS PHYSICIAN SERVICES LLC OKLAHOMA CITY OK $161K
CAROLINAS MEDICAL ALLIANCE INC FLORENCE SC $93K
CAROLINA SURGERY CENTER LLC FORT MILL SC $64K
HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC DAVENPORT FL $28K
BLUEFIELD HBP MEDICAL GROUP LLC BLUEFIELD WV $23K
LAKE WALES CLINIC CORP LAKE WALES FL $20K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 988 $4K
2019 4,038 $109K
2020 2,316 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1000 Prenatal care, at-risk assessment 1,094 711 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,198 2,740 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,487 1,270 $35K
99460 407 393 $31K
99238 Hospital discharge day management, 30 minutes or less 403 364 $12K
99464 56 51 $4K
99462 517 324 $3K
59430 44 38 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 45 38 $958.20
99406 34 24 $597.02
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 27 14 $93.52
81002 16 12 $1.84
96127 14 14 $0.00