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

Independent Healthcare Management, INC.

Independent Healthcare Management, INC. was paid $3.25M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoINDEPENDENT HEALTHCARE MANAGEMENT, INC.
NEWTON, MS 39345
33aNPI1396118378assigned 11/12/2015
33bProvider typeClinic/Center
28Total paid$3.25M
24GClaims78,689
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinic/Center providers in Mississippi

Rank by total paid#6 of 95
Median peer was paid$70K
This provider vs. median46×

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 LEE, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20189,948$513K
201912,788$590K
202010,187$415K
202111,720$460K
202217,009$588K
202310,932$452K
2024incomplete6,105$232K
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 46% 17,005 14,003 $1.48M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 17,280 14,188 $1.36M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.1% 1,862 1,783 $165K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.6% 1,703 1,532 $149K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 281 236 $27K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 81 80 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 80 75 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 117 96 $8K
99051 <1% 492 382 $5K
99381 <1% 41 40 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,573 5,043 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 5,389 4,520 $4K
39 more codes
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 108 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,732 $3K
99203 Doctor's office visit, new patient (routine) <1% 45 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,124 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,134 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,525 $699.23
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% 138 $557.68
81002 <1% 713 $269.46
90474 <1% 1,084 $260.27
87400 <1% 52 $173.16
90655 <1% 14 $68.96
87807 <1% 1,764 $31.83
90688 <1% 1,015 $19.62
90687 <1% 81 $10.34
90680 <1% 1,024 $0.17
90677 <1% 31 $0.17
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 575 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 483 $0.00
90698 0% 266 $0.00
90696 0% 69 $0.00
90723 0% 492 $0.00
90647 0% 436 $0.00
90686 0% 215 $0.00
85018 0% 79 $0.00
1036F 0% 41 $0.00
90697 0% 159 $0.00
90716 0% 28 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 0% 13 $0.00
90733 0% 12 $0.00
90670 0% 2,034 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 36 $0.00
90633 0% 443 $0.00
90681 0% 53 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 970 $0.00
90715 0% 46 $0.00
81025 0% 70 $0.00
90707 0% 32 $0.00
G8482 Influenza immunization administered or previously received 0% 574 $0.00
90710 0% 75 $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 officialLEE, JOHN (COB)
Same official

Other billing entities under LEE, JOHN

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