Medicaid Provider Spending

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

PHOEBE PHYSICIAN GROUP INC

NPI: 1487899464 · ALBANY, GA 31701 · Rural Health Clinic/Center · NPI assigned 12/05/2008

$20.10M
Total Medicaid Paid
558,486
Total Claims
471,670
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAGESSE, ROBERT (SR VP OF PHYSICIAN PRACTICES)
NPI Enumeration Date12/05/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61,862 $2.12M
2019 75,331 $2.75M
2020 61,911 $1.90M
2021 83,306 $2.90M
2022 105,782 $3.81M
2023 103,566 $4.00M
2024 66,728 $2.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125,500 113,189 $6.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 102,842 94,645 $4.68M
99232 Subsequent hospital care, per day, moderate complexity 39,811 15,212 $1.04M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3,023 788 $1.00M
99479 Subsequent intensive care, per day, very low birth weight infant 6,032 1,530 $677K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 34,229 32,228 $457K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,899 5,528 $386K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,151 9,138 $298K
99233 Prolong inpt eval add15 m 7,483 3,363 $268K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,550 1,406 $252K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,246 2,124 $200K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,363 3,936 $199K
99238 Hospital discharge day management, 30 minutes or less 3,523 3,406 $198K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,492 5,195 $187K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,334 2,732 $185K
76819 Fetal biophysical profile; without non-stress testing 2,252 1,799 $171K
99460 2,262 2,213 $170K
70450 Computed tomography, head or brain; without contrast material 8,049 7,194 $168K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 30,958 26,749 $167K
90792 Psychiatric diagnostic evaluation with medical services 1,818 1,683 $147K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,597 9,047 $138K
99283 Emergency department visit for the evaluation and management, moderate severity 2,358 2,335 $124K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,411 1,164 $118K
71045 Radiologic examination, chest; single view 20,964 17,395 $99K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,261 2,106 $98K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,640 2,544 $90K
99239 Hospital discharge day management, more than 30 minutes 1,513 1,400 $90K
71046 Radiologic examination, chest; 2 views 11,019 10,369 $83K
99222 Initial hospital care, per day, moderate complexity 1,512 1,254 $80K
93000 8,095 7,526 $77K
90460 Immunization administration through 18 years of age via any route, first or only component 1,753 1,573 $73K
99480 Subsequent intensive care, per day, low birth weight infant 656 192 $68K
99223 Prolong inpt eval add15 m 874 817 $65K
99284 Emergency department visit for the evaluation and management, high severity 954 672 $62K
93307 1,982 1,867 $59K
76820 656 463 $52K
20610 1,440 1,231 $50K
45380 Colonoscopy, flexible; with biopsy, single or multiple 743 659 $49K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,486 1,309 $49K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,365 1,193 $47K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 143 24 $46K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 319 284 $42K
36902 1,342 1,267 $40K
99468 60 57 $40K
90832 Psychotherapy, 30 minutes with patient 727 219 $37K
99462 1,023 847 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 450 366 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 397 386 $35K
99215 Prolong outpt/office vis 944 797 $34K
J1050 Injection, medroxyprogesterone acetate, 1 mg 559 433 $31K
70551 Magnetic resonance imaging, brain; without contrast material 815 757 $28K
87428 595 536 $27K
93970 498 476 $25K
73630 1,391 1,184 $24K
00170 Anesthesia for intraoral procedures, including biopsy 320 190 $24K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,269 1,193 $24K
93296 2,046 1,979 $23K
99243 234 221 $22K
93923 657 626 $21K
93295 848 809 $19K
51798 3,035 2,769 $19K
J0585 Injection, onabotulinumtoxina, 1 unit 34 27 $19K
73562 1,219 1,095 $19K
73610 1,013 887 $19K
20611 356 277 $19K
54150 189 187 $18K
74018 3,018 2,380 $17K
76770 834 790 $17K
94060 842 757 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,107 538 $13K
94729 834 757 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 507 459 $13K
81025 1,909 1,677 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 763 686 $12K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 235 217 $12K
0002A 400 380 $12K
99478 113 30 $12K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 177 158 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 233 231 $11K
81002 3,734 3,501 $10K
95816 332 315 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 62 56 $9K
Q3014 Telehealth originating site facility fee 770 749 $9K
99383 77 76 $9K
81003 7,167 6,142 $8K
90472 Immunization administration, each additional vaccine (list separately) 326 302 $8K
94727 599 530 $7K
72125 Computed tomography, cervical spine; without contrast material 251 221 $7K
99221 217 204 $7K
0001A 356 347 $7K
97597 388 262 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 664 529 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 201 185 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 356 298 $6K
93880 152 150 $6K
43249 79 76 $6K
99242 74 73 $6K
87400 458 444 $6K
99217 97 94 $6K
99219 44 43 $5K
99152 2,082 1,817 $5K
99384 31 31 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 311 283 $4K
73502 213 205 $4K
93294 351 344 $4K
99253 38 38 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 54 42 $4K
36558 45 41 $4K
99244 Office or other outpatient consultation, moderate to high complexity 26 26 $4K
83036 Hemoglobin; glycosylated (A1C) 821 648 $3K
90837 Psychotherapy, 53 minutes with patient 96 69 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 39 38 $3K
87807 234 228 $3K
78815 Positron emission tomography (PET) for limited area imaging 64 56 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 158 135 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 99 95 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 967 908 $3K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 13 12 $3K
76536 136 133 $3K
76775 166 158 $3K
93016 216 184 $3K
36907 164 157 $3K
76825 28 27 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 69 67 $2K
76506 79 69 $2K
52000 27 26 $2K
36589 55 49 $2K
0071A 65 56 $2K
0072A 53 52 $2K
73221 59 49 $2K
71250 94 80 $2K
00731 64 60 $2K
93018 214 183 $2K
82962 1,325 1,142 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 53 52 $2K
73560 209 184 $2K
77067 Screening mammography, bilateral, including computer-aided detection 52 51 $2K
20550 33 15 $2K
99205 Prolong outpt/office vis 13 13 $2K
01961 16 13 $1K
51725 32 30 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 26 22 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 376 333 $1K
77063 Screening digital breast tomosynthesis, bilateral 52 51 $1K
73030 172 156 $1K
93297 153 146 $1K
90461 168 147 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 223 211 $1K
99201 41 38 $945.80
77001 189 160 $831.32
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 19 19 $678.74
90686 194 166 $664.73
36905 33 26 $638.08
99218 12 12 $570.91
93971 41 39 $544.83
93976 13 12 $532.67
20605 17 14 $530.25
90648 434 423 $502.96
85018 427 196 $499.92
94726 26 26 $496.89
72100 89 82 $486.47
73130 39 36 $486.27
90756 47 29 $483.68
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 104 90 $434.13
76937 191 159 $423.11
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 49 37 $421.79
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $418.97
73110 18 12 $405.30
74019 64 52 $393.57
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $359.52
90670 603 563 $345.69
73501 29 26 $301.46
96127 61 61 $299.56
36415 Collection of venous blood by venipuncture 4,055 3,694 $288.52
90723 330 308 $279.36
76942 14 14 $261.57
96160 60 60 $255.96
87809 16 16 $217.37
96110 Developmental screening, with scoring and documentation, per standardized instrument 32 28 $216.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg 433 383 $190.54
94250 67 63 $177.12
93922 12 12 $154.98
91065 19 12 $146.35
85013 33 33 $108.24
J0696 Injection, ceftriaxone sodium, per 250 mg 81 74 $100.05
99406 14 14 $85.14
86308 13 13 $76.34
J1885 Injection, ketorolac tromethamine, per 15 mg 45 37 $74.58
93356 22 17 $72.23
96161 20 14 $50.93
99308 Subsequent nursing facility care, per day, straightforward 24 24 $47.61
81000 14 13 $38.11
G0444 Annual depression screening, 5 to 15 minutes 375 266 $37.80
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,094 4,375 $8.30
2010F 5,369 4,835 $8.30
1036F 1,414 1,257 $8.30
A9150 Non-prescription drugs 199 195 $6.90
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 67 62 $2.89
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 56 50 $2.03
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 310 264 $1.92
J8499 Prescription drug, oral, non chemotherapeutic, nos 12 12 $0.12
3725F 686 617 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 186 161 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,033 984 $0.00
0502F 134 83 $0.00
90791 Psychiatric diagnostic evaluation 22 22 $0.00
99442 41 26 $0.00
90633 18 18 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 163 37 $0.00
1090F 39 39 $0.00
99401 29 29 $0.00
1100F 13 12 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 890 469 $0.00
99024 716 593 $0.00
99443 98 95 $0.00
90694 64 54 $0.00
G0008 Administration of influenza virus vaccine 118 91 $0.00
7025F 16 15 $0.00
3048F 38 38 $0.00
99441 53 25 $0.00
90647 59 47 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 34 30 $0.00
90677 13 13 $0.00
90680 56 55 $0.00
G0009 Administration of pneumococcal vaccine 13 13 $0.00