Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Galen Medical Group, PC

Galen Medical Group, PC was paid $10.23M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoGALEN MEDICAL GROUP, PC
HIXSON, TN 37343
33aNPI1346250057assigned 08/08/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$10.23M
24GClaims387,127
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Tennessee

Rank by total paid#1 of 27
Median peer was paid$48K
This provider vs. median211×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201844,148$1.04M
201954,757$1.26M
202046,799$1.21M
202180,974$2.17M
202265,814$1.83M
202356,170$1.55M
2024incomplete38,465$1.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 62,460 55,262 $2.18M
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 11% 23,406 20,444 $1.17M
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 7.7% 5,730 5,139 $793K
90460 Immunization administration through 18 years of age via any route, first or only component 7.2% 15,985 13,420 $741K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6.8% 18,743 16,662 $698K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.5% 10,405 9,614 $670K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.9% 7,956 7,246 $498K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 8,640 6,777 $444K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 4.0% 7,109 5,250 $407K
95117 3.9% 43,740 20,530 $400K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3.5% 3,708 2,992 $356K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.3% 3,448 2,856 $233K
104 more codes
92587 2.2% 5,204 $224K
94375 1.0% 5,381 $105K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.0% 7,842 $102K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 7,224 $95K
99204 Doctor's office visit, new patient (more involved) <1% 1,140 $91K
95024 <1% 1,363 $85K
99173 <1% 10,489 $85K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 6,003 $84K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 668 $83K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 4,280 $74K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,917 $72K
96161 <1% 3,146 $61K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,482 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 5,369 $51K
99174 <1% 4,855 $45K
90677 <1% 551 $32K
95115 <1% 3,733 $27K
96160 <1% 2,207 $26K
81003 <1% 10,655 $23K
99203 Doctor's office visit, new patient (routine) <1% 422 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 696 $21K
96127 <1% 4,150 $16K
90670 <1% 4,683 $14K
92551 <1% 1,742 $11K
36415 Collection of venous blood by venipuncture <1% 4,414 $10K
0240U <1% 73 $9K
83655 <1% 575 $9K
36416 <1% 2,931 $8K
99232 Hospital visit by a doctor, follow-up day <1% 476 $7K
90698 <1% 3,481 $6K
95012 <1% 1,744 $6K
94060 <1% 177 $6K
98966 <1% 212 $6K
90461 <1% 8,810 $5K
90656 <1% 314 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 80 $4K
90680 <1% 2,336 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 177 $4K
90619 <1% 70 $4K
90474 <1% 468 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 70 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 80 $3K
90651 <1% 284 $3K
90688 <1% 2,061 $3K
99384 <1% 35 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 46 $2K
90686 <1% 2,308 $2K
90834 Psychotherapy session, about 45 minutes <1% 66 $2K
90716 <1% 581 $1K
90700 <1% 3,139 $1K
99383 <1% 13 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 17 $1K
90707 <1% 587 $976.18
90713 <1% 1,777 $932.50
90633 <1% 961 $931.72
90473 <1% 100 $823.13
90734 <1% 125 $818.60
90744 <1% 1,299 $701.51
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 18 $643.04
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 15 $637.64
87428 <1% 12 $635.90
99460 <1% 12 $562.07
92558 <1% 77 $535.21
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 18 $524.48
88720 <1% 119 $516.27
82962 <1% 569 $466.66
80061 Lipid panel <1% 68 $446.60
81025 <1% 85 $421.64
83036 Hemoglobin; glycosylated (A1C) <1% 578 $265.17
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 32 $264.86
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16 $262.78
90620 <1% 13 $259.78
95251 <1% 34 $222.25
90648 <1% 1,807 $216.37
99222 Initial hospital care, per day, moderate complexity <1% 12 $186.94
87807 <1% 13 $166.80
87420 <1% 258 $156.45
94760 <1% 2,089 $122.02
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 17 $114.58
92250 <1% 18 $108.27
91200 <1% 65 $99.05
90715 <1% 35 $54.64
87210 <1% 15 $46.71
84439 <1% 23 $44.88
90687 <1% 506 $43.34
90674 <1% 109 $36.87
76937 <1% 36 $35.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 132 $35.49
90672 <1% 43 $28.23
3008F 0% 23,248 $0.00
99070 0% 52 $0.00
80050 General health panel 0% 18 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 19 $0.00
87081 0% 39 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 21 $0.00
0500F 0% 78 $0.00
3044F 0% 21 $0.00
4274F 0% 332 $0.00
90685 0% 68 $0.00
99001 0% 883 $0.00
3078F 0% 20 $0.00
90710 0% 13 $0.00
2028F 0% 38 $0.00
90661 0% 14 $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 officialWILEY, BENJAMIN (MEDICAL DIRECTOR)