Medicaid Provider Spending

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

GARDEN PARK PHYSICIAN GROUP INC

NPI: 1285660688 · GULFPORT, MS 39507 · Pediatrics Physician · NPI assigned 06/25/2006

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

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$625K
Total Medicaid Paid
101,208
Total Claims
31,305
Beneficiaries
42
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (VP)
NPI Enumeration Date06/25/2006

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
WEST VALLEY MEDICAL GROUP LLC CALDWELL ID $2.13M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
EAST FALLS FAMILY MEDICINE, LLC IDAHO FALLS ID $1.05M
MOUNTAINSTAR OGDEN PEDIATRICS LLC OGDEN UT $1.04M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC CALDWELL ID $484K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
TRISTAR FAMILY CARE, LLC ASHLAND CITY TN $368K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
SKYLINE NEUROSCIENCE ASSOCIATES, LLC NASHVILLE TN $186K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,926 $284K
2019 49,002 $202K
2020 26,280 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,545 6,132 $143K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,861 3,925 $132K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,966 1,612 $89K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,261 1,385 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,794 651 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,276 2,134 $24K
90460 Immunization administration through 18 years of age via any route, first or only component 4,746 1,290 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 796 291 $21K
90472 Immunization administration, each additional vaccine (list separately) 3,067 1,123 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,819 1,045 $14K
90461 2,926 929 $10K
92551 3,594 1,279 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,970 869 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 339 165 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,787 621 $4K
90474 1,157 420 $3K
99238 Hospital discharge day management, 30 minutes or less 199 79 $2K
99460 55 39 $2K
87807 1,752 427 $2K
96127 1,469 530 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 27 $1K
96160 1,217 456 $937.99
90651 174 57 $736.31
99381 28 14 $625.38
83655 292 89 $548.51
99462 95 42 $476.48
90686 4,112 1,118 $294.72
80305 232 88 $215.36
90670 4,023 1,300 $213.00
99173 103 70 $209.67
83037 404 142 $200.23
36415 Collection of venous blood by venipuncture 1,359 410 $85.77
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 48 12 $69.52
99177 426 133 $27.68
85018 30 13 $15.19
90647 1,293 444 $0.00
90680 2,466 809 $0.00
90723 2,566 856 $0.00
G0008 Administration of influenza virus vaccine 34 14 $0.00
99441 53 22 $0.00
90633 660 193 $0.00
90734 160 50 $0.00