Medicaid Provider Spending

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

GULF COAST HMA PHYSICIAN MANAGEMENT LLC

NPI: 1407806094 · VENICE, FL 34285 · Family Medicine Physician · NPI assigned 05/12/2006

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

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$78K
Total Medicaid Paid
8,798
Total Claims
8,083
Beneficiaries
19
Codes Billed
2019-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialJACKSON, JENNIFER (SR. DIRECTOR PROVIDER ENROLLMENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: JACKSON, JENNIFER

ProviderCityStateTotal Paid
LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM $62.87M
ROSWELL CLINIC CORP ROSWELL NM $14.65M
PECOS VALLEY OF NEW MEXICO, LLC CARLSBAD NM $6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC CORSICANA TX $4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC FLOWOOD MS $2.83M
STATESVILLE HMA MEDICAL GROUP, LLC STATESVILLE NC $2.68M
HEARTLAND COUNSELING SERVICES, INC. SOUTH SIOUX CITY NE $2.31M
MOORESVILLE PPM LLC MOORESVILLE NC $1.35M
SCRANTON QUINCY AMBULANCE LLC SCRANTON PA $1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC SPRING HILL FL $1.14M
INTERMOUNTAIN MEDICAL GROUP, INC KINGSTON PA $1.09M
ROSWELL HOSPITAL CORPORATION ROSWELL NM $714K
WOODWARD CLINIC COMPANY, LLC WOODWARD OK $598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC BILOXI MS $585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC EL DORADO AR $495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC CUDJOE KEY FL $406K
MOORESVILLE PPM LLC MOORESVILLE NC $385K
HEARTLAND COUNSELING SERVICES, INC. ONEILL NE $295K
NORTHWEST CARDIOLOGY LLC TUCSON AZ $265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC RONCEVERTE WV $224K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 710 $13K
2020 1,872 $16K
2021 5,929 $38K
2022 287 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,386 1,207 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 857 771 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 99 96 $11K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 385 367 $0.00
3078F 333 308 $0.00
1160F 1,276 1,195 $0.00
1159F 1,187 1,110 $0.00
0521F 58 56 $0.00
1126F 314 297 $0.00
3074F 608 568 $0.00
1036F 518 478 $0.00
3008F 938 852 $0.00
1125F 132 121 $0.00
3079F 81 79 $0.00
3075F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 42 40 $0.00
1170F 311 288 $0.00
1031F 246 225 $0.00
1034F 15 13 $0.00