Medicaid Provider Spending

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

SHELBYVILLE CLINIC CORP

NPI: 1295785699 · SHELBYVILLE, TN 37160 · Internal Medicine Physician · NPI assigned 05/10/2006

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

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$512K
Total Medicaid Paid
29,842
Total Claims
19,151
Beneficiaries
53
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal Paid
POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO $9.93M
CRESTWOOD PHYSICIAN SERVICES, LLC HUNTSVILLE AL $1.52M
FORT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $1.34M
PORTER HEALTH SERVICES, LLC. VALPARAISO IN $1.28M
WIREGRASS CLINIC LLC DOTHAN AL $697K
MADISON HMA PHYSICIAN MANAGEMENT LLC CANTON MS $677K
FRANKLIN CLINIC CORP FRANKLIN VA $369K
TOWN OF SHARON SHARON MA $348K
CLARKSDALE HMA PHYSICIAN MANAGEMENT LLC CLARKSDALE MS $247K
LAKE SHORE HMA MEDICAL GROUP LLC LAKE CITY FL $193K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $186K
CROSSGATES HMA MEDICAL GROUP LLC BRANDON MS $183K
PREFERRED LIVING INC VILLE PLATTE LA $168K
DEACONESS PHYSICIAN SERVICES LLC OKLAHOMA CITY OK $161K
CAROLINAS MEDICAL ALLIANCE INC FLORENCE SC $93K
CAROLINA SURGERY CENTER LLC FORT MILL SC $64K
HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC DAVENPORT FL $28K
BLUEFIELD HBP MEDICAL GROUP LLC BLUEFIELD WV $23K
LAKE WALES CLINIC CORP LAKE WALES FL $20K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,590 $389K
2019 3,382 $70K
2020 2,870 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,942 7,670 $248K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,907 2,730 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,093 846 $45K
20610 697 399 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 318 167 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 187 148 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,543 1,524 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 194 116 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,115 597 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 122 76 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 544 315 $6K
73562 412 288 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 953 572 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 523 362 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 454 241 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 23 13 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 707 505 $1K
93000 259 190 $1K
90472 Immunization administration, each additional vaccine (list separately) 244 120 $1K
99381 19 13 $1K
92587 152 97 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 47 36 $965.93
J1040 Injection, methylprednisolone acetate, 80 mg 125 75 $698.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 82 69 $650.27
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 139 123 $631.44
J0696 Injection, ceftriaxone sodium, per 250 mg 83 47 $605.50
99173 245 151 $546.47
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $513.57
90460 Immunization administration through 18 years of age via any route, first or only component 140 64 $415.75
90715 26 16 $343.26
73610 38 25 $332.60
81002 588 353 $293.94
G0008 Administration of influenza virus vaccine 81 42 $281.40
73130 20 12 $255.60
G0009 Administration of pneumococcal vaccine 108 56 $248.69
94760 112 88 $206.16
36415 Collection of venous blood by venipuncture 460 291 $195.21
90686 34 28 $161.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg 249 148 $86.81
83036 Hemoglobin; glycosylated (A1C) 29 21 $44.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 77 41 $41.42
82962 26 19 $24.64
90670 103 62 $0.00
90633 27 16 $0.00
90687 28 12 $0.00
90461 42 20 $0.00
99024 239 173 $0.00
90688 17 13 $0.00
3008F 35 14 $0.00
90744 56 33 $0.00
90680 53 30 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 18 13 $0.00
90698 94 58 $0.00