Medicaid Provider Spending

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

HH PHYSICIAN CARE-FAYETTEVILLE MEDICAL ASSOCIATES

NPI: 1225574056 · FAYETTEVILLE, TN 37334 · Family Medicine Physician · NPI assigned 01/18/2017

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

Authorized official CARTER, CLINTON controls 20+ related entities in our dataset. Read more

$972K
Total Medicaid Paid
50,425
Total Claims
42,149
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARTER, CLINTON (CFO)
Parent OrganizationHH HEALTH SYSTEM-TENNESSEE LLC
NPI Enumeration Date01/18/2017

Related Entities

Other providers sharing the same authorized official: CARTER, CLINTON

ProviderCityStateTotal Paid
HH PHYSICIAN CARE HUNTSVILLE AL $2.70M
HH PHYSICIANS NETWORK HUNTSVILLE AL $2.39M
DECATUR MORGAN HOSPITALIST GROUP DECATUR AL $582K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $512K
HUNTSVILLE HOSPITAL PEDIATRIC NEUROLOGY HUNTSVILLE AL $287K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $110K
HUNTSVILLE HOSPITAL PROFESSIONAL SERVICES HUNTSVILLE AL $85K
HH HEALTH SYSTEM - DEKALB, LLC FORT PAYNE AL $81K
HUNTSVILLE HOSPITAL LUNG CENTER HUNTSVILLE AL $71K
HH DIGESTIVE DISEASE CENTER HUNTSVILLE AL $58K
HUNTSVILLE HOSPITAL ENDOCRINE AND DIABETES CLINIC HUNTSVILLE AL $42K
DEKALB SPECIALTY CARE FORT PAYNE AL $10K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $8K
HH PHYSICIAN CARE-ELKTON TENNESSEE ARDMORE TN $8K
DECATUR MORGAN SPECIALISTS DECATUR AL $3K
HH FEVER AND FLU CLINIC HUNTSVILLE AL $2K
HH OBSERVATION CENTER HUNTSVILLE AL $969.00
DEKALB PRIMARY CARE FORT PAYNE AL $705.11
HELEN KELLER INPATIENT PHYSICIAN SERVICES SHEFFIELD AL $537.55
HUNTSVILLE HOSPITAL MADISON INTERNAL MEDICINE MADISON AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,086 $93K
2019 4,005 $90K
2020 3,083 $80K
2021 6,312 $171K
2022 9,426 $212K
2023 14,225 $188K
2024 9,288 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,661 12,516 $539K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,258 3,737 $184K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,394 4,762 $51K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,646 2,316 $36K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 469 419 $31K
87400 4,230 1,918 $31K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 552 511 $26K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 331 311 $23K
90472 Immunization administration, each additional vaccine (list separately) 999 887 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 129 116 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 107 97 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 245 198 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 248 240 $5K
36415 Collection of venous blood by venipuncture 2,603 2,272 $2K
90686 584 530 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 36 24 $1K
80305 277 253 $958.23
90670 68 64 $430.00
98960 44 31 $360.00
90651 12 12 $240.00
3074F 671 571 $220.00
3078F 496 404 $200.00
3079F 232 198 $100.73
G0008 Administration of influenza virus vaccine 64 59 $46.26
3077F 31 25 $20.00
3075F 15 15 $10.00
96127 1,470 1,248 $3.14
90661 17 16 $0.01
90649 14 13 $0.00
1003F 1,134 1,032 $0.00
4004F 742 626 $0.00
97803 607 545 $0.00
3288F 28 24 $0.00
99173 12 12 $0.00
90734 14 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 211 174 $0.00
3008F 5,614 4,901 $0.00
1125F 339 308 $0.00
1126F 796 727 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $0.00
80053 Comprehensive metabolic panel 13 13 $0.00