Medicaid Provider Spending

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

NORTH MISSISSIPPI GILMORE CLINICS, LLC

NPI: 1225502370 · AMORY, MS 38821 · Internal Medicine Physician · NPI assigned 01/11/2019

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

Authorized official TOPPIN, BRUCE controls 20+ related entities in our dataset. Read more

$171K
Total Medicaid Paid
9,119
Total Claims
6,989
Beneficiaries
33
Codes Billed
2019-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialTOPPIN, BRUCE (SECRETARY)
NPI Enumeration Date01/11/2019

Related Entities

Other providers sharing the same authorized official: TOPPIN, BRUCE

ProviderCityStateTotal Paid
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $117.67M
NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS $16.92M
MONROE HEALTH SERVICES, INC. AMORY MS $16.44M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $16.13M
PONTOTOC HEALTH SERVICES, INC. PONTOTOC MS $11.55M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $7.71M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $7.30M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $6.05M
MARION REGIONAL MEDICAL CENTER, INC. HAMILTON AL $5.48M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $2.95M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.84M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.53M
NORTH MISSISSIPPI MEDICAL CENTER INC. SALTILLO MS $1.48M
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $1.25M
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC TUPELO MS $1.14M
NORTH MISSISSIPPI MEDICAL CENTER, INC TUPELO MS $995K
NORTH MISSISSIPPI EMERGENCY SERVICES, INC. TUPELO MS $958K
PONTOTOC HEALTH SERVICES, INC. NEW ALBANY MS $912K
PONTOTOC HEALTH SERVICES, INC. PONTOTOC MS $835K
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $799K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 7,152 $124K
2020 423 $9K
2021 747 $24K
2022 797 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,909 2,179 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,375 1,091 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 338 261 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 362 279 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 226 171 $6K
87428 84 77 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 684 547 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 96 93 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 41 $4K
99464 69 59 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 57 52 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 723 586 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 227 71 $845.98
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $790.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 169 105 $719.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 121 95 $484.09
36415 Collection of venous blood by venipuncture 680 529 $318.55
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26 26 $136.61
99308 Subsequent nursing facility care, per day, straightforward 13 13 $84.22
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 18 17 $82.92
90686 104 103 $46.28
80305 22 12 $24.22
3288F 146 128 $0.00
90461 252 159 $0.00
90670 92 59 $0.00
1159F 16 15 $0.00
90648 62 40 $0.00
1160F 16 15 $0.00
90633 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 13 $0.00
3008F 108 87 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 28 26 $0.00
G0008 Administration of influenza virus vaccine 16 15 $0.00