Medicaid Provider Spending

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

ATHENS PHYSICIANS PRACTICE LLC

NPI: 1306850144 · ATHENS, TN 37303 · Internal Medicine Physician · NPI assigned 07/28/2006

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

Authorized official JUDY, JESS controls 20+ related entities in our dataset. Read more

$10K
Total Medicaid Paid
1,015
Total Claims
881
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialJUDY, JESS (PRESIDENT)
Parent OrganizationATHENS PHYSICIANS PRACTICE LLC
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: JUDY, JESS

ProviderCityStateTotal Paid
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC GALAX VA $3.66M
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $1.23M
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC HILLSVILLE VA $570K
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC GALAX VA $482K
AMG - HILLSIDE, LLC PULASKI TN $309K
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $169K
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $138K
VAUGHAN PHYSICIAN PRACTICES LLC SELMA AL $136K
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC GALAX VA $119K
CASTLEVIEW PHYSICIAN PRACTICES, LLC PRICE UT $110K
BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS $105K
AMG-HILLSIDE LLC PULASKI TN $98K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $62K
VAUGHAN PHYSICIAN PRACTICES LLC SELMA AL $59K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC JOHNSTOWN PA $49K
MINDEN PHYSICIAN PRACTICES LLC MINDEN LA $30K
AMG HILLSIDE LLC PULASKI TN $24K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $20K
CASTLEVIEW PHYSICIAN PRACTICES LLC PRICE UT $14K
CASTLEVIEW PHYSICIAN PRACTICES, LLC PRICE UT $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 463 $4K
2019 451 $4K
2020 101 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 590 510 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 175 158 $2K
99308 Subsequent nursing facility care, per day, straightforward 37 34 $855.28
99307 14 12 $275.22
90756 68 55 $245.90
G2011 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes 39 35 $29.92
G0008 Administration of influenza virus vaccine 57 46 $19.56
36415 Collection of venous blood by venipuncture 35 31 $17.62