Medicaid Provider Spending

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

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

NPI: 1467401331 · MCCOMB, MS 39648 · Gastroenterology Physician · NPI assigned 05/09/2006

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

Authorized official ROWLEY, CHARLA controls 20+ related entities in our dataset. Read more

$468K
Total Medicaid Paid
20,535
Total Claims
19,637
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROWLEY, CHARLA (CEO)
NPI Enumeration Date05/09/2006

Related Entities

Other providers sharing the same authorized official: ROWLEY, CHARLA

ProviderCityStateTotal Paid
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $46.62M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MONTICELLO MS $2.57M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $1.78M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $1.24M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $1.19M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $611K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $580K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $240K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $231K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $219K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MONTICELLO MS $218K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $183K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MONTICELLO MS $109K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $72K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $36K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER SUMMIT MS $25K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $24K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $24K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $11K
SOUTHWEST MS REGIONAL MEDICAL CENTER MONTICELLO MS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,689 $84K
2019 7,570 $123K
2020 2,693 $66K
2021 1,664 $69K
2022 1,837 $71K
2023 700 $35K
2024 382 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,493 3,302 $156K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,925 1,818 $120K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,527 2,421 $70K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 581 549 $50K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 408 395 $41K
43235 275 266 $13K
43248 198 181 $10K
36415 Collection of venous blood by venipuncture 2,169 2,058 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 31 $2K
46221 13 12 $1K
99490 Ccm add 20min 99 96 $826.24
99222 Initial hospital care, per day, moderate complexity 12 12 $751.39
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $431.50
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 959 933 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,256 1,208 $0.00
4040F 1,356 1,308 $0.00
G8482 Influenza immunization administered or previously received 455 436 $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) 193 187 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 450 436 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 200 197 $0.00
G8484 Influenza immunization was not administered, reason not given 70 69 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 99 95 $0.00
1124F 104 101 $0.00
4004F 40 40 $0.00
3017F 1,130 1,085 $0.00
1123F 875 841 $0.00
1036F 1,110 1,069 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 134 128 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 360 351 $0.00