Medicaid Provider Spending

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

COLUMBIA PRIMARY CARE LLC

NPI: 1265567994 · WEST PALM BEACH, FL 33407 · Internal Medicine Physician · NPI assigned 02/22/2007

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

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$663K
Total Medicaid Paid
35,651
Total Claims
26,138
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VP)
NPI Enumeration Date02/22/2007

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
ST LUCIE MEDICAL SPECIALISTS LLC PORT ST LUCIE FL $1.26M
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC NASHVILLE TN $281K
LAWNWOOD HEALTHCARE SPECIALISTS LLC VERO BEACH FL $248K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
HERMITAGE PRIMARY CARE LLC HERMITAGE TN $25K
TRISTAR JOINT REPLACEMENT INSTITUTE, LLC NASHVILLE TN $16K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 869 $8K
2019 4,750 $79K
2020 4,510 $104K
2021 7,879 $149K
2022 8,776 $114K
2023 4,857 $127K
2024 4,010 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,864 8,645 $316K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,895 2,364 $64K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,298 1,806 $59K
99232 Subsequent hospital care, per day, moderate complexity 3,290 1,409 $55K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 623 500 $42K
99223 Prolong inpt eval add15 m 792 616 $42K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 600 479 $38K
99233 Prolong inpt eval add15 m 664 271 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 133 127 $10K
93000 3,186 2,405 $9K
99222 Initial hospital care, per day, moderate complexity 127 107 $6K
99215 Prolong outpt/office vis 55 51 $3K
83036 Hemoglobin; glycosylated (A1C) 211 180 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,167 1,658 $528.64
1111F 134 71 $252.22
99308 Subsequent nursing facility care, per day, straightforward 83 49 $116.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $103.50
82962 29 26 $35.84
99307 36 12 $28.39
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 14 13 $22.00
1160F 124 65 $0.00
3078F 1,318 933 $0.00
1159F 135 76 $0.00
3077F 13 12 $0.00
G9905 Patient not screened for tobacco use 13 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00
4004F 14 13 $0.00
3074F 1,321 1,001 $0.00
3008F 3,237 2,289 $0.00
3079F 312 230 $0.00
1123F 208 159 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 230 174 $0.00
3075F 24 12 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 277 202 $0.00
1170F 42 37 $0.00
1036F 32 30 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 49 40 $0.00
1126F 76 39 $0.00