Medicaid Provider Spending

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

KNOXVILLE HMA CARDIOLOGY PPM, LLC

NPI: 1275811713 · KNOXVILLE, TN 37909 · Clinical Cardiac Electrophysiology Physician · NPI assigned 08/02/2011

$881K
Total Medicaid Paid
121,715
Total Claims
90,814
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSWAW, MICHAEL (DIRECTOR; AUTHORIZED OFFICIAL)
Parent OrganizationCOMMUNITY HEALTH SYSTEMS
NPI Enumeration Date08/02/2011

Related Entities

Other providers sharing the same authorized official: SWAW, MICHAEL

ProviderCityStateTotal Paid
BULLHEAD CITY CLINIC CORP LAUGHLIN NV $162K
MARION PHYSICIAN SERVICES LLC MARION SC $119K
BRANDON PHYSICIAN MANAGEMENT LLC PEARL MS $50K
KAY COUNTY OKLAHOMA HOSPITAL COMPANY LLC BLACKWELL OK $20K
MARTIN CLINIC CORP MARTIN TN $8K
SHELBYVILLE HOSPITAL COMPANY LLC SHELBYVILLE TN $5K
LA PORTE HOSPITAL COMPANY LLC LA PORTE IN $3K
VIRTUALHEALTHCONNECT LLC FRANKLIN TN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,371 $124K
2019 14,998 $168K
2020 11,081 $130K
2021 27,324 $159K
2022 19,172 $93K
2023 20,937 $115K
2024 15,832 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,337 19,507 $479K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,219 5,776 $148K
93000 15,971 12,241 $81K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 16,113 11,067 $40K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 365 290 $21K
93295 2,050 1,732 $19K
99232 Subsequent hospital care, per day, moderate complexity 1,345 546 $16K
93297 2,950 2,200 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 702 565 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 421 300 $10K
93296 1,090 911 $6K
93458 63 39 $5K
99205 Prolong outpt/office vis 87 66 $5K
99215 Prolong outpt/office vis 159 118 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 109 77 $4K
93016 515 407 $4K
93018 457 377 $3K
99152 461 286 $2K
99222 Initial hospital care, per day, moderate complexity 59 51 $2K
99233 Prolong inpt eval add15 m 203 52 $2K
93294 209 179 $1K
99406 197 157 $1K
36415 Collection of venous blood by venipuncture 1,764 1,297 $1K
93282 70 62 $1K
93298 223 199 $957.54
99223 Prolong inpt eval add15 m 15 14 $563.77
99221 40 28 $503.46
3078F 4,829 3,602 $382.48
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 67 55 $357.26
3074F 3,836 2,900 $283.08
99443 18 14 $249.04
93307 27 23 $212.94
93015 44 16 $86.40
93280 17 12 $67.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $53.68
3079F 374 274 $30.00
3075F 92 59 $20.00
3077F 249 179 $10.00
3008F 13,518 9,990 $0.08
1036F 9,271 7,027 $0.04
1034F 221 168 $0.00
1126F 108 91 $0.00
1159F 4,871 3,568 $0.00
1160F 5,967 4,280 $0.00