Medicaid Provider Spending

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

HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1215262217 · DAVENPORT, FL 33837 · Urology Physician · NPI assigned 10/08/2009

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

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

$28K
Total Medicaid Paid
1,325
Total Claims
1,007
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
NPI Enumeration Date10/08/2009

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
LAKE SHORE HMA MEDICAL GROUP LLC LAKE CITY FL $193K
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
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 235 $68.78
2019 1,090 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 519 443 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 444 372 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 53 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
99222 Initial hospital care, per day, moderate complexity 22 14 $931.39
99232 Subsequent hospital care, per day, moderate complexity 92 14 $226.65
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 179 99 $68.78