Medicaid Provider Spending

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

HILCREST CLINIC, PC

NPI: 1295769552 · ERIN, TN 37061 · Family Medicine Physician · NPI assigned 07/10/2006

$871K
Total Medicaid Paid
56,527
Total Claims
45,923
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARTER, MICHAEL (OWNER)
NPI Enumeration Date07/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,688 $126K
2019 9,330 $130K
2020 7,623 $93K
2021 8,094 $95K
2022 8,967 $123K
2023 8,551 $172K
2024 5,274 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,750 8,030 $391K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,821 7,503 $305K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,694 3,797 $43K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,009 895 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,222 983 $20K
99308 Subsequent nursing facility care, per day, straightforward 2,316 1,936 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,602 1,115 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 233 195 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 201 186 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 468 385 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 826 722 $7K
94760 8,494 6,867 $5K
36415 Collection of venous blood by venipuncture 2,648 2,252 $3K
99490 Ccm add 20min 524 507 $2K
3008F 334 245 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $2K
90682 61 61 $2K
99406 351 291 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24 21 $706.60
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $697.34
96127 152 102 $557.09
96160 127 91 $336.49
81003 305 260 $321.64
90688 41 39 $294.62
99318 20 20 $288.87
99307 80 75 $281.34
G0444 Annual depression screening, 5 to 15 minutes 80 66 $275.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 38 38 $266.91
99439 81 76 $219.42
99310 Prolong nursin fac eval 15m 14 13 $163.81
99173 16 12 $143.04
99306 Prolong nursin fac eval 15m 32 25 $129.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg 82 76 $47.36
1036F 1,694 1,406 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 263 208 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 488 410 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,206 1,833 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 28 25 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 130 94 $0.00
G0008 Administration of influenza virus vaccine 74 70 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
3017F 17 13 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 658 575 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,037 2,519 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 1,091 887 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 195 175 $0.00
G8482 Influenza immunization administered or previously received 370 311 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 105 92 $0.00
99499 50 39 $0.00
4040F 280 221 $0.00
1090F 55 39 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 71 55 $0.00
90662 18 16 $0.00