Medicaid Provider Spending

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

SCOTTS HILL CLINIC, INC.

NPI: 1396708830 · LEXINGTON, TN 38351 · Family Nurse Practitioner · NPI assigned 04/07/2006

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

Authorized official HENSON, LARRY controls 15+ related entities in our dataset. Read more

$73K
Total Medicaid Paid
3,494
Total Claims
2,778
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialHENSON, LARRY (RCD)
NPI Enumeration Date04/07/2006

Related Entities

Other providers sharing the same authorized official: HENSON, LARRY

ProviderCityStateTotal Paid
LEXINGTON HOSPITAL CORPORATION LEXINGTON TN $4.74M
LEXINGTON HOSPITAL CORPORATION LEXINGTON TN $2.24M
AMBULANCE SERVICES OF LEXINGTON, INC. LEXINGTON TN $2.02M
ROLAND PUBLIC SCHOOLS ROLAND OK $574K
HAYWOOD COUNTY COMMUNITY HOSPITAL INC BROWNSVILLE TN $491K
HOUSTON COUNTY COMMUNITY HOSPITAL ERIN TN $416K
LEXINGTON HOSPITAL CORPORATION LEXINGTON TN $379K
SHAMROCK COMMUNITY HOSPITAL INC ERIN TN $315K
DECATUR COUNTY GENERAL HOSPITAL PARSONS TN $216K
HOUSTON COUNTY COMMUNITY HOSPITAL ERIN TN $94K
LEXINGTON CLINIC CORP LEXINGTON TN $74K
LEXINGTON HOSPITAL CORPORATION BROWNSVILLE TN $13K
LEXINGTON FAMILY PHYSICIANS LLC LEXINGTON TN $11K
LEXINGTON HOSPITAL CORPORATION LEXINGTON TN $953.55
SHAMROCK COMMUNITY HOSPITAL INC ERIN TN $586.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,466 $25K
2019 1,243 $25K
2020 615 $16K
2021 170 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,479 1,998 $61K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 441 336 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 385 289 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 58 53 $602.67
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48 36 $350.20
81002 67 53 $113.88
81000 16 13 $34.43