Medicaid Provider Spending

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

FORT SMITH HMA PBC MANAGEMENT, LLC

NPI: 1477888907 · FORT SMITH, AR 72901 · Pulmonary Disease Physician · NPI assigned 10/16/2009

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

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$1.34M
Total Medicaid Paid
46,059
Total Claims
32,792
Beneficiaries
66
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (SENIOR DIRECTOR)
NPI Enumeration Date10/16/2009

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal Paid
POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO $9.93M
CRESTWOOD PHYSICIAN SERVICES, LLC HUNTSVILLE AL $1.52M
PORTER HEALTH SERVICES, LLC. VALPARAISO IN $1.28M
WIREGRASS CLINIC LLC DOTHAN AL $697K
MADISON HMA PHYSICIAN MANAGEMENT LLC CANTON MS $677K
SHELBYVILLE CLINIC CORP SHELBYVILLE TN $512K
FRANKLIN CLINIC CORP FRANKLIN VA $369K
TOWN OF SHARON SHARON MA $348K
CLARKSDALE HMA PHYSICIAN MANAGEMENT LLC CLARKSDALE MS $247K
LAKE SHORE HMA MEDICAL GROUP LLC LAKE CITY FL $193K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $186K
CROSSGATES HMA MEDICAL GROUP LLC BRANDON MS $183K
PREFERRED LIVING INC VILLE PLATTE LA $168K
DEACONESS PHYSICIAN SERVICES LLC OKLAHOMA CITY OK $161K
CAROLINAS MEDICAL ALLIANCE INC FLORENCE SC $93K
CAROLINA SURGERY CENTER LLC FORT MILL SC $64K
HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC DAVENPORT FL $28K
BLUEFIELD HBP MEDICAL GROUP LLC BLUEFIELD WV $23K
LAKE WALES CLINIC CORP LAKE WALES FL $20K
CAMPBELL COUNTY HMA, LLC LA FOLLETTE TN $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,059 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,684 10,075 $434K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,085 6,652 $184K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 203 141 $171K
99232 Subsequent hospital care, per day, moderate complexity 4,841 1,322 $93K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 511 466 $51K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 200 188 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 991 716 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 452 387 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,601 1,158 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 239 86 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,259 1,028 $18K
99233 Prolong inpt eval add15 m 577 280 $18K
43248 244 228 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 331 325 $18K
99223 Prolong inpt eval add15 m 299 270 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 334 258 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 572 468 $15K
59425 99 87 $13K
90961 423 375 $13K
99222 Initial hospital care, per day, moderate complexity 328 294 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,077 963 $12K
59426 38 28 $12K
99215 Prolong outpt/office vis 231 193 $11K
93000 2,039 1,618 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 187 182 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 728 332 $9K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 50 50 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 126 125 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 30 27 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 28 27 $4K
99221 128 113 $4K
42820 Tonsillectomy and adenoidectomy; younger than age 12 15 13 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 49 48 $3K
90962 83 65 $3K
36415 Collection of venous blood by venipuncture 2,626 2,013 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 529 376 $2K
94060 166 120 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 271 77 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 74 44 $2K
31575 33 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 186 186 $1K
99238 Hospital discharge day management, 30 minutes or less 40 39 $1K
99308 Subsequent nursing facility care, per day, straightforward 71 71 $1K
99205 Prolong outpt/office vis 14 12 $974.12
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 13 $860.72
30802 13 13 $850.55
87420 80 66 $849.42
71046 Radiologic examination, chest; 2 views 226 169 $765.09
90935 Hemodialysis procedure with single evaluation by a physician 112 28 $744.37
83036 Hemoglobin; glycosylated (A1C) 133 88 $638.02
74018 29 29 $547.02
76830 Ultrasound, transvaginal 14 13 $539.38
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 36 34 $453.12
93018 64 52 $349.33
76770 34 27 $336.78
73110 49 26 $306.37
92567 17 17 $119.70
94726 23 12 $69.37
94729 23 12 $67.88
82947 42 27 $44.80
93016 12 12 $42.66
81001 882 454 $41.12
81003 29 28 $32.00
90688 25 25 $0.00
G0008 Administration of influenza virus vaccine 24 24 $0.00
90791 Psychiatric diagnostic evaluation 87 64 $0.00