Medicaid Provider Spending

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

CURANA HEALTH MEDICAL GROUP LLC

NPI: 1255640678 · AUSTIN, TX 78759 · Nurse Practitioner · NPI assigned 10/04/2010

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

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$778K
Total Medicaid Paid
109,006
Total Claims
67,290
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date10/04/2010

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,991 $56K
2019 18,595 $62K
2020 21,689 $96K
2021 17,612 $222K
2022 13,468 $229K
2023 14,457 $71K
2024 7,194 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 47,801 26,495 $312K
99310 Prolong nursin fac eval 15m 21,294 12,052 $190K
99222 Initial hospital care, per day, moderate complexity 2,768 2,492 $163K
99223 Prolong inpt eval add15 m 807 768 $60K
99308 Subsequent nursing facility care, per day, straightforward 5,679 3,632 $34K
99490 Ccm add 20min 6,871 6,863 $4K
99232 Subsequent hospital care, per day, moderate complexity 137 120 $4K
99306 Prolong nursin fac eval 15m 519 470 $3K
99233 Prolong inpt eval add15 m 98 65 $3K
99318 117 116 $2K
99497 284 256 $671.55
99358 Prolong nursin fac eval 15m 151 144 $491.93
99305 117 116 $473.35
99307 141 99 $110.82
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 426 193 $42.13
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 11,881 5,892 $0.00
G8482 Influenza immunization administered or previously received 590 584 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 780 578 $0.00
1160F 1,777 1,248 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 100 87 $0.00
1159F 1,776 1,248 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 35 28 $0.00
3078F 945 708 $0.00
1124F 112 101 $0.00
G8484 Influenza immunization was not administered, reason not given 23 17 $0.00
3044F 411 242 $0.00
1123F 584 526 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,043 763 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 126 117 $0.00
3074F 578 521 $0.00
1126F 760 504 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 48 41 $0.00
99356 12 12 $0.00
3079F 89 84 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 34 28 $0.00
1170F 35 27 $0.00
3075F 33 29 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00