Physician
Fort Smith Hma PBC Management, LLC
Fort Smith Hma PBC Management, LLC was paid $1.34M by Medicaid between Jan 2018 and Oct 2018, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoFORT SMITH HMA PBC MANAGEMENT, LLC
FORT SMITH, AR 72901
FORT SMITH, AR 72901
33aNPI1477888907assigned 10/16/2009
33bProvider typePulmonary Disease Physician
28Total paid$1.34M
24GClaims46,059
24DCodes billed66
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pulmonary Disease Physician providers in Arkansas
Rank by total paid#2 of 13
Median peer was paid$57K
This provider vs. median24×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 46,059 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 32% | 12,684 | 10,075 | $434K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 8,085 | 6,652 | $184K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 13% | 203 | 141 | $171K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.9% | 4,841 | 1,322 | $93K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.8% | 511 | 466 | $51K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.3% | 200 | 188 | $31K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.2% | 991 | 716 | $30K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 452 | 387 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,601 | 1,158 | $21K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.4% | 239 | 86 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 2,259 | 1,028 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 577 | 280 | $18K |
54 more codes
| 43248 | 1.4% | 244 | $18K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 331 | $18K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 299 | $17K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.2% | 334 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 572 | $15K |
| 59425 | <1% | 99 | $13K | |
| 90961 | <1% | 423 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 328 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,077 | $12K |
| 59426 | <1% | 38 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 231 | $11K |
| 93000 | <1% | 2,039 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 187 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 728 | $9K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 50 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 126 | $7K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 30 | $5K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 28 | $4K |
| 99221 | <1% | 128 | $4K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 15 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 49 | $3K |
| 90962 | <1% | 83 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,626 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 529 | $2K |
| 94060 | <1% | 166 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 271 | $2K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 74 | $2K |
| 31575 | <1% | 33 | $1K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 186 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 71 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $974.12 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $860.72 |
| 30802 | <1% | 13 | $850.55 | |
| 87420 | <1% | 80 | $849.42 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 226 | $765.09 |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 112 | $744.37 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 133 | $638.02 |
| 74018 | <1% | 29 | $547.02 | |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $539.38 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 36 | $453.12 |
| 93018 | <1% | 64 | $349.33 | |
| 76770 | <1% | 34 | $336.78 | |
| 73110 | <1% | 49 | $306.37 | |
| 92567 | <1% | 17 | $119.70 | |
| 94726 | <1% | 23 | $69.37 | |
| 94729 | <1% | 23 | $67.88 | |
| 82947 | <1% | 42 | $44.80 | |
| 93016 | <1% | 12 | $42.66 | |
| 81001 | <1% | 882 | $41.12 | |
| 81003 | <1% | 29 | $32.00 | |
| 90688 | 0% | 25 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 87 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWRIGHT, JAMES (SENIOR DIRECTOR)
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| Campbell County Hma, LLC | La Follette, TN | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.