Medicaid Provider Spending

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

GULF COAST HMA PHYSICIAN MANAGEMENT LLC

NPI: 1497053839 · VENICE, FL 34292 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 03/09/2011

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

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

$22K
Total Medicaid Paid
2,083
Total Claims
1,944
Beneficiaries
13
Codes Billed
2019-04
First Month
2022-05
Last Month

Provider Details

Authorized OfficialJACKSON, JENNIFER (SENIOR DIRECTOR PROVIDER ENROLLMENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC.
NPI Enumeration Date03/09/2011

Related Entities

Other providers sharing the same authorized official: JACKSON, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $976.30
2020 29 $2K
2021 2,023 $19K
2022 16 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 277 263 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 90 89 $4K
3008F 683 625 $0.00
1031F 152 142 $0.00
3074F 205 194 $0.00
1036F 384 355 $0.00
1125F 16 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 29 26 $0.00
1034F 18 16 $0.00
3079F 33 33 $0.00
3078F 115 110 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 69 66 $0.00
1160F 12 12 $0.00