Medicaid Provider Spending

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

MEDICAL FOUNDATION, INC.

NPI: 1306076427 · MERIDIAN, MS 39301 · Pediatrics Physician · NPI assigned 07/23/2009

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

Authorized official KENNEDY, DON controls 20+ related entities in our dataset. Read more

$309K
Total Medicaid Paid
30,519
Total Claims
23,588
Beneficiaries
46
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialKENNEDY, DON (PRESIDENT)
NPI Enumeration Date07/23/2009

Related Entities

Other providers sharing the same authorized official: KENNEDY, DON

ProviderCityStateTotal Paid
RUSH MEDICAL FOUNDATION MERIDIAN MS $29.41M
LAIRD HOSPITAL, INC. UNION MS $7.23M
LAIRD HOSPITAL, INC. MERIDIAN MS $5.90M
LAIRD HOSPITAL, INC MERIDIAN MS $5.27M
RUSH MEDICAL FOUNDATION QUITMAN MS $4.69M
KEMPER, CAH, INC LIVINGSTON AL $4.50M
MEDICAL FOUNDATION, INC. MERIDIAN MS $4.20M
KEMPER CAH, INC. DE KALB MS $4.06M
SCOTT REGIONAL MEDICAL CENTER, INC. MORTON MS $3.77M
KEMPER CAH, INC MERIDIAN MS $3.39M
RUSH HOSPITAL/BUTLER, INC BUTLER AL $1.94M
MEDICAL FOUNDATION, INC. MERIDIAN MS $1.82M
THE MEDICAL STORE, INC. MERIDIAN MS $1.66M
RUSH MEDICAL FOUNDATION MERIDIAN MS $1.61M
MEDICAL FOUNDATION, INC. MERIDIAN MS $1.37M
LAIRD HOSPITAL, INC. UNION MS $1.31M
MEDICAL FOUNDATION, INC. MERIDIAN MS $1.27M
SCOTT REGIONAL MEDICAL CENTER, INC. MORTON MS $1.21M
RUSH MEDICAL FOUNDATION QUITMAN MS $978K
KEMPER CAH, INC MERIDIAN MS $910K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,517 $160K
2019 7,590 $59K
2020 5,038 $37K
2021 4,530 $33K
2022 1,844 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,288 7,871 $176K
99232 Subsequent hospital care, per day, moderate complexity 6,005 1,679 $39K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,232 1,143 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 951 947 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 300 288 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,051 5,894 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 542 519 $8K
99233 Prolong inpt eval add15 m 756 339 $8K
99215 Prolong outpt/office vis 97 90 $4K
71045 Radiologic examination, chest; single view 2,217 1,894 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 141 140 $3K
71046 Radiologic examination, chest; 2 views 409 393 $2K
99223 Prolong inpt eval add15 m 81 75 $2K
99222 Initial hospital care, per day, moderate complexity 73 66 $2K
93000 547 541 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37 37 $1K
95886 29 24 $1K
99284 Emergency department visit for the evaluation and management, high severity 94 91 $1K
99239 Hospital discharge day management, more than 30 minutes 181 177 $898.64
99490 Ccm add 20min 131 129 $714.12
99283 Emergency department visit for the evaluation and management, moderate severity 42 42 $652.67
99231 Subsequent hospital care, per day, straightforward or low complexity 66 38 $471.97
99238 Hospital discharge day management, 30 minutes or less 40 38 $316.96
92567 43 43 $279.90
88342 50 50 $191.49
95816 13 13 $182.21
74018 31 30 $167.69
95813 13 12 $129.02
82962 412 383 $68.33
99442 14 12 $51.35
99441 42 28 $47.75
83036 Hemoglobin; glycosylated (A1C) 93 93 $19.95
81002 17 13 $18.78
36415 Collection of venous blood by venipuncture 149 129 $16.20
81000 40 39 $14.37
80061 Lipid panel 30 30 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 32 32 $0.00
86703 12 12 $0.00
84443 Thyroid stimulating hormone (TSH) 16 16 $0.00
82950 13 13 $0.00
80050 General health panel 12 12 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 63 61 $0.00
87088 19 18 $0.00
86780 13 13 $0.00
80053 Comprehensive metabolic panel 51 50 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 31 31 $0.00