Medicaid Provider Spending

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

SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1447365366 · MILTON, FL 32571 · Internal Medicine Physician · NPI assigned 08/20/2006

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$820K
Total Medicaid Paid
87,821
Total Claims
68,672
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 681 $2K
2019 8,065 $105K
2020 7,997 $120K
2021 14,934 $187K
2022 26,917 $205K
2023 23,003 $133K
2024 6,224 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,044 10,246 $310K
H1000 Prenatal care, at-risk assessment 4,775 2,606 $211K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,591 8,038 $182K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 580 499 $44K
59430 186 153 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 158 145 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 735 378 $8K
59025 Fetal non-stress test 123 75 $7K
99232 Subsequent hospital care, per day, moderate complexity 507 133 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 78 $5K
99222 Initial hospital care, per day, moderate complexity 141 101 $4K
94060 287 233 $3K
99223 Prolong inpt eval add15 m 93 51 $3K
99205 Prolong outpt/office vis 19 16 $2K
H1001 Prenatal care, at-risk enhanced service; antepartum management 31 25 $2K
99460 37 24 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,292 660 $1K
99215 Prolong outpt/office vis 29 25 $1K
1036F 7,383 5,532 $469.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 80 38 $448.96
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 145 110 $336.38
94727 240 197 $268.93
99238 Hospital discharge day management, 30 minutes or less 18 13 $261.55
72100 153 124 $250.79
94729 227 184 $145.85
20610 19 13 $139.63
90658 16 14 $114.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 44 $93.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 51 $84.15
81025 43 38 $80.26
1034F 1,557 1,207 $72.94
99441 14 13 $72.40
76770 105 81 $61.61
J1030 Injection, methylprednisolone acetate, 40 mg 36 27 $60.50
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 131 97 $46.03
93000 20 13 $23.38
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23 13 $18.95
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,076 862 $0.00
3078F 6,197 5,132 $0.00
1160F 4,499 3,896 $0.00
1159F 4,280 3,719 $0.00
3725F 221 165 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 502 449 $0.00
3077F 292 231 $0.00
81002 27 25 $0.00
81003 47 29 $0.00
0502F 24 12 $0.00
1125F 3,383 2,707 $0.00
1126F 3,744 3,131 $0.00
3074F 7,519 6,474 $0.00
3079F 2,181 1,805 $0.00
3008F 9,970 8,053 $0.00
3075F 509 451 $0.00
96127 51 29 $0.00
99024 114 92 $0.00
3080F 126 103 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 12 $0.00