Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hamilton Physician Group INC

Hamilton Physician Group INC was paid $5.94M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoHAMILTON PHYSICIAN GROUP INC
DALTON, GA 30720
33aNPI1235455569assigned 04/12/2010
33bProvider typeCardiovascular Disease Physician
28Total paid$5.94M
24GClaims251,955
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Georgia

Rank by total paid#2 of 22
Median peer was paid$4K
This provider vs. median1,378×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201827,425$567K
201934,941$767K
202024,668$558K
202133,135$814K
202234,914$1.12M
202337,670$1.34M
2024incomplete59,202$773K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 62,054 57,739 $2.11M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34% 51,228 47,151 $2.05M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5.1% 7,641 6,934 $306K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.0% 3,281 3,040 $239K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.6% 5,863 5,347 $216K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.1% 10,485 9,304 $124K
64615 1.6% 1,508 1,424 $97K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.6% 4,872 4,599 $93K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 6,947 6,490 $89K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 1,184 1,126 $85K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 2,317 2,223 $74K
99308 Subsequent nursing facility care, per day, straightforward 1.2% 4,734 4,190 $71K
87 more codes
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,262 $52K
99215 Doctor's office visit, returning patient (complex) <1% 625 $43K
80305 <1% 8,230 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,953 $36K
90792 Psychiatric diagnostic evaluation with medical services <1% 483 $27K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 627 $25K
99223 Prolong inpt eval add15 m <1% 307 $17K
95886 <1% 470 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,323 $16K
93000 <1% 1,244 $11K
62323 <1% 191 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 1,859 $9K
99205 Prolong outpt/office vis <1% 86 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 351 $8K
99406 <1% 1,266 $7K
95819 <1% 187 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 778 $5K
99490 Ccm add 20min <1% 996 $4K
99232 Hospital visit by a doctor, follow-up day <1% 198 $4K
99310 Prolong nursin fac eval 15m <1% 167 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 40 $4K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 762 $3K
99307 <1% 393 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 609 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 96 $3K
90834 Psychotherapy session, about 45 minutes <1% 288 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 133 $2K
99222 Initial hospital care, per day, moderate complexity <1% 57 $2K
71046 Radiologic examination, chest; 2 views <1% 135 $2K
90674 <1% 136 $2K
90791 Psychiatric diagnostic evaluation <1% 16 $2K
20611 <1% 43 $1K
80053 Comprehensive metabolic panel <1% 449 $1K
62321 <1% 14 $1K
90837 Psychotherapy session, about an hour <1% 15 $991.41
99238 Hospital discharge day management, 30 minutes or less <1% 30 $863.01
36415 Collection of venous blood by venipuncture <1% 9,097 $767.76
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $698.03
81003 <1% 409 $554.52
94060 <1% 25 $547.45
3079F <1% 3,031 $525.00
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 37 $502.15
3074F <1% 9,235 $475.00
94726 <1% 12 $396.61
94729 <1% 12 $389.93
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 30 $370.65
20610 <1% 26 $358.93
3078F <1% 9,276 $350.00
80061 Lipid panel <1% 107 $321.21
90832 Psychotherapy session, about 30 minutes <1% 16 $318.88
99152 <1% 79 $287.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 841 $287.15
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26 $281.60
90732 <1% 16 $239.84
93016 <1% 29 $234.03
64493 <1% 14 $188.40
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 164 $167.37
93018 <1% 29 $165.63
3075F <1% 480 $150.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 501 $99.69
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 18 $98.75
4010F <1% 1,438 $90.00
64494 <1% 14 $69.39
80048 Basic metabolic panel (calcium, ionized) <1% 13 $32.48
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 15 $19.51
99442 <1% 161 $3.04
99441 <1% 72 $1.83
3725F 0% 746 $0.00
1159F 0% 2,048 $0.00
3288F 0% 2,258 $0.00
3077F 0% 2,027 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 237 $0.00
99497 0% 77 $0.00
1494F 0% 126 $0.00
3008F 0% 13,907 $0.00
3080F 0% 205 $0.00
99024 0% 333 $0.00
1220F 0% 219 $0.00
1125F 0% 598 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 120 $0.00
G0008 Administration of influenza virus vaccine 0% 64 $0.00
3048F 0% 179 $0.00
90694 0% 25 $0.00
1101F 0% 121 $0.00
3044F 0% 465 $0.00
G0009 Administration of pneumococcal vaccine 0% 16 $0.00
36416 0% 16 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMCKENZIE, SANDY (EXECUTIVE V.P./COO)