STATESVILLE HMA MEDICAL GROUP, LLC

NPI: 1497031314 · STATESVILLE, NC 28677 · Cardiovascular Disease Physician · NPI assigned 10/24/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$16K

Total Medicaid Paid

1,238

Total Claims

1,224

Beneficiaries

Codes Billed

2018-01

First Month

2021-11

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING)
Parent Organization	STATESVILLE HMA MEDICAL GROUP LLC
NPI Enumeration Date	10/24/2011

Other providers sharing the same authorized official: JACKSON, JENNIFER

Provider	City	State	Total Paid
LAS CRUCES PHYSICIAN SERVICES LLC	LAS CRUCES	NM	$62.87M
ROSWELL CLINIC CORP	ROSWELL	NM	$14.65M
PECOS VALLEY OF NEW MEXICO, LLC	CARLSBAD	NM	$6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC	CORSICANA	TX	$4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC	FLOWOOD	MS	$2.83M
STATESVILLE HMA MEDICAL GROUP, LLC	STATESVILLE	NC	$2.68M
HEARTLAND COUNSELING SERVICES, INC.	SOUTH SIOUX CITY	NE	$2.31M
MOORESVILLE PPM LLC	MOORESVILLE	NC	$1.35M
SCRANTON QUINCY AMBULANCE LLC	SCRANTON	PA	$1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC	SPRING HILL	FL	$1.14M
INTERMOUNTAIN MEDICAL GROUP, INC	KINGSTON	PA	$1.09M
ROSWELL HOSPITAL CORPORATION	ROSWELL	NM	$714K
WOODWARD CLINIC COMPANY, LLC	WOODWARD	OK	$598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC	BILOXI	MS	$585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC	EL DORADO	AR	$495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC	CUDJOE KEY	FL	$406K
MOORESVILLE PPM LLC	MOORESVILLE	NC	$385K
HEARTLAND COUNSELING SERVICES, INC.	ONEILL	NE	$295K
NORTHWEST CARDIOLOGY LLC	TUCSON	AZ	$265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC	RONCEVERTE	WV	$224K

Year	Claims	Total Paid
2018	198	$10K
2021	1,040	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99199	Unlisted special service, procedure or report	1,040	1,040	$6K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	50	48	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	93	83	$4K
93000		55	53	$463.94