Medicaid Provider Spending

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

PORTAGE PHYSICIAN PRACTICES INC

NPI: 1225461684 · HANCOCK, MI 49930 · Registered Dietitian · NPI assigned 08/20/2013

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

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$1.63M
Total Medicaid Paid
30,616
Total Claims
28,628
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date08/20/2013

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,702 $185K
2019 3,611 $185K
2020 2,899 $165K
2021 3,935 $243K
2022 4,885 $293K
2023 7,004 $328K
2024 4,580 $228K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 5,713 5,322 $347K
99283 Emergency department visit for the evaluation and management, moderate severity 5,232 5,018 $320K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,794 3,429 $244K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,293 4,062 $225K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,510 1,445 $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,577 2,374 $118K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,222 1,219 $72K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 656 652 $58K
99215 Prolong outpt/office vis 631 568 $58K
74177 Computed tomography, abdomen and pelvis; with contrast material 252 241 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,552 1,349 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 48 44 $6K
99205 Prolong outpt/office vis 47 46 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 89 82 $4K
99307 233 222 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 85 84 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100 94 $3K
71046 Radiologic examination, chest; 2 views 403 391 $2K
70450 Computed tomography, head or brain; without contrast material 107 105 $2K
77067 Screening mammography, bilateral, including computer-aided detection 106 106 $2K
99308 Subsequent nursing facility care, per day, straightforward 48 47 $2K
77063 Screening digital breast tomosynthesis, bilateral 102 102 $2K
00170 Anesthesia for intraoral procedures, including biopsy 25 25 $2K
76377 76 73 $2K
99222 Initial hospital care, per day, moderate complexity 20 13 $2K
71045 Radiologic examination, chest; single view 292 261 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 52 46 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 13 $955.68
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 12 $882.05
76705 Ultrasound, abdominal, real time with image documentation; limited 34 34 $532.48
73610 88 81 $439.77
76830 Ultrasound, transvaginal 12 12 $235.32
73130 44 28 $219.69
36415 Collection of venous blood by venipuncture 17 16 $120.53
73630 26 25 $118.75
96127 25 24 $63.71
3078F 504 454 $0.00
3079F 13 12 $0.00
3074F 483 427 $0.00
3008F 62 54 $0.00
1125F 17 16 $0.00