Medicaid Provider Spending

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

TANNER PRIMARY CARE OF ROANOKE INC

NPI: 1255899092 · ROANOKE, AL 36274 · Family Medicine Physician · NPI assigned 03/12/2019

$758K
Total Medicaid Paid
26,989
Total Claims
20,843
Beneficiaries
30
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOFFMAN, CLINT (SR VP)
NPI Enumeration Date03/12/2019

Related Entities

Other providers sharing the same authorized official: HOFFMAN, CLINT

ProviderCityStateTotal Paid
TANNER MEDICAL GROUP INC CARROLLTON GA $17.94M
TMC HARALSON FAMILY HEALTHCARE CENTER BREMEN GA $985K
TANNER PRIMARY CARE OF WEDOWEE INC WEDOWEE AL $977K
TMC WOODLAND FAMILY HEALTHCARE, INC. WOODLAND AL $377K
TMC IMMEDIATE CARE, INC VILLA RICA GA $224K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,820 $9K
2020 5,199 $96K
2021 5,317 $183K
2022 5,527 $171K
2023 5,389 $167K
2024 3,737 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,805 7,559 $713K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,190 3,111 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,102 3,402 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,973 1,227 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 28 $921.09
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 36 23 $736.82
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 79 64 $674.36
99441 14 12 $239.04
87428 103 83 $228.90
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 38 28 $155.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 13 $110.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 117 85 $79.18
99306 Prolong nursin fac eval 15m 23 15 $68.68
99310 Prolong nursin fac eval 15m 54 37 $42.25
82947 39 24 $32.00
81003 14 12 $4.60
99307 4,094 3,400 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 907 658 $0.00
G9781 Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) 132 119 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 17 12 $0.00
G9796 Patient is currently on a high intensity statin therapy 56 51 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 212 199 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 316 216 $0.00
1036F 285 239 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 60 42 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 23 17 $0.00
99308 Subsequent nursing facility care, per day, straightforward 113 76 $0.00
82962 58 50 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 19 13 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 28 28 $0.00