Medicaid Provider Spending

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

AFFINITY ORTHOPEDIC SPECIALISTS LLC

NPI: 1215407226 · VESTAVIA, AL 35243 · Orthopaedic Foot and Ankle Surgery Physician · NPI assigned 12/03/2018

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

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

$20K
Total Medicaid Paid
1,322
Total Claims
1,007
Beneficiaries
14
Codes Billed
2019-03
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
NPI Enumeration Date12/03/2018

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
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
2019 379 $9K
2020 105 $2K
2021 299 $378.00
2022 243 $1K
2023 201 $5K
2024 95 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 345 271 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 144 67 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 91 58 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 22 14 $1K
20610 22 12 $470.41
20611 36 12 $405.22
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $270.00
73630 23 13 $184.00
1036F 422 379 $0.00
3008F 26 25 $0.00
G8478 Blood pressure measurement not performed or documented, reason not given 18 12 $0.00
1160F 78 66 $0.00
G8421 Bmi not documented and no reason is given 18 12 $0.00
1159F 64 54 $0.00