Lake Shore Hma Medical Group LLC

Lake Shore Hma Medical Group LLC was paid $193K by Medicaid between Jan 2018 and Aug 2020, across 13 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 32% of everything it billed.

33Billing provider infoLAKE SHORE HMA MEDICAL GROUP LLC
LAKE CITY, FL 32055

33aNPI1215256458assigned 05/27/2010

33bProvider typeOrthopaedic Surgery Physician

28Total paid$193K

24GClaims7,342

24DCodes billed13

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Florida

Rank by total paid#14 of 104

Median peer was paid$7K

This provider vs. median28×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

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

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1000	Prenatal care, at-risk assessment	32%	1,094	711	$61K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	3,198	2,740	$42K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	18%	1,487	1,270	$35K
99460		16%	407	393	$31K
99238	Hospital discharge day management, 30 minutes or less	6.3%	403	364	$12K
99464		2.1%	56	51	$4K
99462		1.7%	517	324	$3K
59430		<1%	44	38	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	45	38	$958.20
99406		<1%	34	24	$597.02
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	27	14	$93.52
81002		<1%	16	12	$1.84

1 more codes

96127

$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)

Same official

Other billing entities under WRIGHT, JAMES

Full network →

Provider	Location	Paid
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Madison Hma Physician Management LLC	Canton, MS	$677K
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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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.