Medicaid Provider Spending

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

VAUGHAN PHYSICIAN PRACTICES LLC

NPI: 1407277460 · SELMA, AL 36701 · Vascular Surgery Physician · NPI assigned 12/18/2013

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

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

$59K
Total Medicaid Paid
3,897
Total Claims
2,809
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJUDY, JESS (PRESIDENT)
NPI Enumeration Date12/18/2013

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
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
ATHENS PHYSICIANS PRACTICE LLC ATHENS TN $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $2K
2019 164 $3K
2020 230 $2K
2021 514 $7K
2022 251 $8K
2023 752 $13K
2024 1,895 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 634 490 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 972 568 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 286 207 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 329 246 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 80 76 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 285 253 $4K
90961 140 100 $3K
99232 Subsequent hospital care, per day, moderate complexity 24 13 $728.99
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $651.69
99231 Subsequent hospital care, per day, straightforward or low complexity 30 12 $212.58
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 13 $130.83
36415 Collection of venous blood by venipuncture 40 38 $52.00
3008F 351 258 $0.00
3074F 151 105 $0.00
1036F 295 217 $0.00
99384 31 27 $0.00
1126F 109 88 $0.00
3078F 111 85 $0.00