Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Memphis › NPI 1306089206
Physician

Baptist Memorial Medical Group INC

Baptist Memorial Medical Group INC was paid $35.67M by Medicaid between Jan 2018 and Dec 2024, across 327 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoBAPTIST MEMORIAL MEDICAL GROUP INC
MEMPHIS, TN 38125
33aNPI1306089206assigned 04/08/2009
33bProvider typeUrology Physician
28Total paid$35.67M
24GClaims1,668,927
24DCodes billed327
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#1 of 53
Median peer was paid$12K
This provider vs. median3,091×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018184,139$5.26M
2019193,085$5.30M
2020159,087$4.01M
2021209,240$4.86M
2022233,083$5.35M
2023356,224$5.83M
2024incomplete334,069$5.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18% 147,959 118,779 $6.28M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 110,143 90,831 $4.27M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.6% 133,235 42,478 $3.07M
97530 Therapeutic activities, direct patient contact, each 15 minutes 5.1% 26,624 11,330 $1.81M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 4.6% 1,357 1,121 $1.64M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 23,660 18,480 $1.52M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.7% 29,476 10,313 $1.33M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 17,804 15,736 $1.29M
90460 Immunization administration through 18 years of age via any route, first or only component 3.6% 38,312 33,195 $1.27M
99223 Prolong inpt eval add15 m 3.2% 24,879 19,373 $1.13M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 44,805 17,252 $738K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.8% 29,240 25,102 $659K
315 more codes
99215 Doctor's office visit, returning patient (complex) 1.7% 11,297 $620K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.6% 5,212 $567K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.5% 11,285 $551K
99239 Hospital discharge day management, more than 30 minutes 1.4% 20,089 $515K
99204 Doctor's office visit, new patient (more involved) 1.4% 8,282 $483K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 5,782 $442K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.2% 5,781 $423K
76819 Fetal biophysical profile; without non-stress testing 1.1% 8,470 $410K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.1% 6,090 $395K
87631 1.1% 3,864 $375K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.0% 8,037 $362K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12,220 $341K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,654 $306K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,396 $257K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,069 $234K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,420 $218K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,972 $199K
99203 Doctor's office visit, new patient (routine) <1% 4,277 $199K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 6,746 $195K
90651 <1% 2,303 $191K
36415 Collection of venous blood by venipuncture <1% 105,708 $176K
76801 <1% 2,731 $159K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,617 $136K
99220 <1% 2,004 $114K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,915 $112K
99205 Prolong outpt/office vis <1% 1,430 $101K
99385 <1% 1,178 $99K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,434 $93K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 4,252 $91K
99238 Hospital discharge day management, 30 minutes or less <1% 2,023 $85K
81025 <1% 17,922 $83K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,497 $79K
71045 Radiologic examination, chest; single view <1% 20,698 $72K
99460 <1% 1,293 $71K
90715 <1% 2,319 $70K
81003 <1% 34,597 $59K
95951 <1% 520 $57K
54150 <1% 374 $56K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,656 $55K
43775 <1% 563 $54K
99222 Initial hospital care, per day, moderate complexity <1% 1,522 $51K
90792 Psychiatric diagnostic evaluation with medical services <1% 860 $50K
92551 <1% 6,300 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,967 $48K
76820 <1% 1,285 $47K
58662 <1% 163 $44K
80053 Comprehensive metabolic panel <1% 12,701 $43K
58571 <1% 186 $42K
92567 <1% 3,114 $39K
83655 <1% 3,525 $38K
59510 <1% 40 $37K
96127 <1% 11,238 $35K
70450 Computed tomography, head or brain; without contrast material <1% 2,830 $33K
87210 <1% 9,506 $32K
99177 <1% 5,268 $32K
92552 <1% 1,751 $28K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,024 $27K
59025 Fetal non-stress test <1% 1,225 $27K
96161 <1% 6,068 $26K
99462 <1% 1,065 $26K
76830 Ultrasound, transvaginal <1% 356 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 7,716 $22K
99308 Subsequent nursing facility care, per day, straightforward <1% 3,310 $21K
92526 <1% 323 $18K
99244 Office or other outpatient consultation, moderate to high complexity <1% 168 $18K
99173 <1% 4,187 $17K
77427 <1% 434 $17K
3074F <1% 95,300 $15K
97164 <1% 404 $14K
99381 <1% 207 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,167 $14K
90686 <1% 10,261 $13K
82962 <1% 7,944 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,001 $13K
90670 <1% 11,213 $12K
71046 Radiologic examination, chest; 2 views <1% 2,307 $12K
3078F <1% 86,120 $12K
81000 <1% 4,853 $12K
D1206 Topical application of fluoride varnish <1% 569 $12K
88720 <1% 2,707 $12K
76857 <1% 266 $11K
85027 <1% 4,487 $11K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 7,560 $11K
99443 <1% 455 $10K
76825 <1% 90 $10K
90677 <1% 1,902 $10K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 63 $10K
71250 <1% 417 $10K
36416 <1% 9,313 $9K
80305 <1% 1,284 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 727 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 333 $9K
80061 Lipid panel <1% 2,057 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 597 $9K
95811 <1% 157 $8K
99234 <1% 142 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 614 $8K
82951 <1% 1,022 $8K
93325 <1% 234 $8K
94010 <1% 1,020 $8K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 17 $8K
59410 <1% 18 $8K
97162 <1% 168 $8K
93000 <1% 1,259 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 449 $7K
D0145 Oral evaluation for a patient under three years of age <1% 2,641 $6K
3079F <1% 27,480 $6K
76821 <1% 129 $6K
84443 Thyroid stimulating hormone (TSH) <1% 838 $6K
90710 <1% 2,829 $6K
87807 <1% 582 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 141 $5K
96112 <1% 44 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 254 $5K
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 <1% 722 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 216 $5K
95813 <1% 173 $5K
56820 <1% 155 $5K
78815 Positron emission tomography (PET) for limited area imaging <1% 169 $5K
77334 <1% 67 $5K
86140 <1% 2,627 $5K
99442 <1% 280 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 321 $4K
3008F <1% 11,478 $4K
93297 <1% 282 $4K
0001A <1% 130 $4K
95720 <1% 70 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 52 $4K
76827 <1% 69 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 105 $3K
87280 <1% 300 $3K
99441 <1% 247 $3K
99221 <1% 94 $3K
90678 <1% 12 $3K
0011A <1% 116 $3K
93298 <1% 285 $3K
0012A <1% 105 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 333 $3K
99243 <1% 34 $3K
93971 <1% 422 $3K
58100 <1% 50 $3K
57420 <1% 86 $3K
90723 <1% 8,396 $3K
77067 Screening mammography, bilateral, including computer-aided detection <1% 172 $3K
73560 <1% 965 $3K
99283 Emergency room visit (moderate) <1% 137 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 167 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 112 $3K
94726 <1% 455 $2K
77300 <1% 25 $2K
93299 <1% 185 $2K
3077F <1% 15,179 $2K
81002 <1% 1,277 $2K
0002A <1% 75 $2K
93018 <1% 558 $2K
72100 <1% 540 $2K
84439 <1% 550 $2K
90461 <1% 1,130 $2K
93458 <1% 27 $2K
85014 <1% 1,597 $2K
0072A <1% 55 $2K
85018 <1% 1,561 $2K
99242 <1% 34 $2K
90656 <1% 726 $2K
95251 <1% 496 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 233 $2K
95816 <1% 94 $2K
73630 <1% 492 $2K
95819 <1% 83 $2K
73030 <1% 462 $2K
94729 <1% 405 $2K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) <1% 391 $2K
0071A <1% 46 $1K
96380 <1% 137 $1K
90633 <1% 5,782 $1K
3075F <1% 12,656 $1K
92557 <1% 56 $1K
86803 <1% 145 $1K
74018 <1% 321 $1K
94060 <1% 271 $1K
99406 <1% 315 $1K
99307 <1% 387 $1K
76536 <1% 50 $1K
96160 <1% 430 $1K
3080F <1% 6,839 $1K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 28 $1K
77263 <1% 12 $1K
99459 <1% 86 $1K
73610 <1% 312 $1K
97113 <1% 36 $1K
69210 <1% 45 $1K
73130 <1% 379 $1K
70551 Magnetic resonance imaging, brain; without contrast material <1% 63 $1K
90681 <1% 2,536 $1K
76775 <1% 120 $1K
58300 <1% 15 $1K
85652 <1% 506 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 82 $971.10
99219 <1% 27 $968.86
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 202 $963.44
31575 <1% 34 $948.76
99254 <1% 20 $946.68
90680 <1% 3,231 $891.87
99217 <1% 131 $869.34
90647 <1% 4,302 $858.45
99152 <1% 399 $826.35
82728 <1% 146 $817.94
99421 <1% 73 $791.87
93925 <1% 59 $778.17
87340 <1% 128 $761.15
99490 Ccm add 20min <1% 177 $607.92
86308 <1% 128 $556.52
90674 <1% 35 $547.77
80050 General health panel <1% 122 $544.80
73502 <1% 156 $517.44
77290 <1% 12 $492.38
90734 <1% 334 $450.80
90697 <1% 1,352 $445.76
80069 <1% 100 $431.46
87653 <1% 15 $408.29
90474 <1% 35 $376.79
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 52 $375.53
86431 <1% 91 $346.06
90837 Psychotherapy session, about an hour <1% 19 $339.27
90648 <1% 5,242 $337.23
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 23 $336.52
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 24 $322.36
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 41 $304.65
90696 <1% 519 $296.13
J1030 Injection, methylprednisolone acetate, 40 mg <1% 78 $295.23
83550 <1% 88 $284.85
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 17 $265.16
95117 <1% 32 $251.11
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 22 $241.29
92587 <1% 16 $226.46
72040 <1% 38 $219.53
93970 <1% 44 $206.40
90620 <1% 69 $183.60
73110 <1% 54 $174.00
90700 <1% 958 $166.83
J1010 Injection, methylprednisolone acetate, 1 mg <1% 142 $163.53
83540 <1% 71 $156.46
90733 <1% 333 $139.26
99464 <1% 13 $135.32
88142 <1% 35 $123.76
73140 <1% 42 $123.60
82570 <1% 40 $102.73
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 573 $96.51
94664 <1% 13 $95.55
83615 <1% 76 $94.64
76642 <1% 13 $84.21
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 144 $83.17
72125 Computed tomography, cervical spine; without contrast material <1% 13 $78.78
93750 <1% 31 $78.68
90662 <1% 242 $69.94
93308 <1% 19 $64.55
J1040 Injection, methylprednisolone acetate, 80 mg <1% 14 $62.74
94375 <1% 17 $59.59
92558 <1% 447 $58.00
73590 <1% 19 $55.99
99497 <1% 169 $54.68
93321 <1% 34 $53.86
72070 <1% 14 $50.30
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 16 $50.25
82950 <1% 18 $49.56
G0008 Administration of influenza virus vaccine <1% 607 $36.03
84156 <1% 26 $35.68
96381 <1% 30 $32.00
93922 <1% 13 $31.08
76937 <1% 15 $24.20
90688 <1% 363 $21.00
90716 <1% 489 $19.12
99153 Mod sedat endo service >5yrs <1% 311 $16.76
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 104 $15.45
1159F <1% 112,838 $4.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 32 $4.90
G0444 Annual depression screening, 5 to 15 minutes <1% 200 $4.57
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 183 $3.76
0502F 0% 18,865 $0.00
1160F 0% 17,784 $0.00
99188 0% 140 $0.00
99226 0% 158 $0.00
3046F 0% 103 $0.00
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 0% 46 $0.00
90707 0% 437 $0.00
3051F 0% 143 $0.00
90685 0% 347 $0.00
90661 0% 196 $0.00
90671 0% 793 $0.00
90672 0% 93 $0.00
1158F 0% 106 $0.00
3725F 0% 103 $0.00
98960 0% 21 $0.00
90380 0% 55 $0.00
91300 0% 23 $0.00
1126F 0% 10,061 $0.00
1125F 0% 354 $0.00
4037F 0% 591 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 245 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 645 $0.00
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement 0% 641 $0.00
0503F 0% 1,802 $0.00
3044F 0% 623 $0.00
0500F 0% 1,671 $0.00
1157F 0% 16 $0.00
3052F 0% 79 $0.00
1111F 0% 835 $0.00
1220F 0% 561 $0.00
1170F 0% 170 $0.00
G0009 Administration of pneumococcal vaccine 0% 24 $0.00
91301 0% 177 $0.00
90619 0% 64 $0.00
99305 0% 15 $0.00
99000 0% 20 $0.00
99495 0% 37 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDUCKETT, GREGORY (SR VP/CLO)
Parent organizationBAPTIST MEMORIAL HEALTH CARE CORP.
Same official

Other billing entities under DUCKETT, GREGORY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.