Medicaid Provider Spending

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

ECM HEALTH GROUP LLC

NPI: 1346588852 · FLORENCE, AL 35630 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 01/18/2013

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$1.10M
Total Medicaid Paid
53,302
Total Claims
33,690
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date01/18/2013

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,691 $97K
2019 9,156 $141K
2020 4,314 $88K
2021 4,286 $125K
2022 10,367 $207K
2023 13,209 $288K
2024 5,279 $153K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,042 3,038 $202K
99223 Prolong inpt eval add15 m 2,958 2,687 $177K
99232 Subsequent hospital care, per day, moderate complexity 11,378 4,170 $163K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,558 2,703 $120K
99233 Prolong inpt eval add15 m 5,048 1,920 $104K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,482 1,086 $48K
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 122 56 $41K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 774 288 $39K
59025 Fetal non-stress test 2,364 1,259 $37K
99239 Hospital discharge day management, more than 30 minutes 1,258 1,169 $34K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 34 26 $24K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 389 322 $23K
G9357 Post-partum screenings, evaluations and education performed 150 129 $14K
H1000 Prenatal care, at-risk assessment 112 95 $8K
76830 Ultrasound, transvaginal 138 123 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,913 1,085 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88 63 $6K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 130 58 $4K
99215 Prolong outpt/office vis 67 42 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 498 229 $4K
99308 Subsequent nursing facility care, per day, straightforward 644 499 $4K
80053 Comprehensive metabolic panel 977 543 $4K
43235 25 24 $3K
96401 292 92 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 405 262 $2K
99222 Initial hospital care, per day, moderate complexity 36 28 $2K
99221 104 99 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 36 32 $964.23
99238 Hospital discharge day management, 30 minutes or less 53 50 $828.25
99307 227 146 $796.75
90715 31 26 $782.07
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 72 65 $732.50
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 46 24 $720.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 18 13 $544.05
96367 24 12 $531.96
90674 38 25 $482.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 143 96 $419.46
36415 Collection of venous blood by venipuncture 944 543 $338.68
81000 215 191 $300.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21 17 $238.00
90686 54 13 $190.30
82728 37 27 $169.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 54 45 $153.14
99306 Prolong nursin fac eval 15m 31 28 $137.36
83550 37 27 $128.93
J1030 Injection, methylprednisolone acetate, 40 mg 43 31 $115.00
87210 36 24 $95.00
83540 37 27 $90.61
J0696 Injection, ceftriaxone sodium, per 250 mg 59 46 $82.21
81002 18 18 $39.26
81001 14 13 $20.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 57 44 $17.62
3008F 2,779 2,272 $0.00
1036F 2,096 1,737 $0.00
3074F 1,738 1,460 $0.00
3079F 185 156 $0.00
3075F 13 12 $0.00
1034F 29 25 $0.00
1160F 2,372 1,927 $0.00
3078F 912 777 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,834 1,633 $0.00