Physician
Gadsden Regional Physician Group Practice LLC
Gadsden Regional Physician Group Practice LLC was paid $540K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoGADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC
GADSDEN, AL 35903
GADSDEN, AL 35903
33aNPI1558506550assigned 12/05/2008
33bProvider typeAnesthesiology Physician
28Total paid$540K
24GClaims50,977
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Alabama
Rank by total paid#13 of 48
Median peer was paid$37K
This provider vs. median14×
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 MUSIC, KRISTINA 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 | 4,723 | $67K | |
| 2019 | 5,226 | $95K | |
| 2020 | 2,885 | $50K | |
| 2021 | 5,476 | $70K | |
| 2022 | 6,070 | $40K | |
| 2023 | 13,721 | $105K | |
| 2024incomplete | 12,876 | $113K |
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 | 31% | 3,432 | 2,716 | $165K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 7,867 | 3,342 | $117K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 4,364 | 1,503 | $91K |
| 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% | 2,829 | 1,993 | $74K |
| 99223 | Prolong inpt eval add15 m | 8.6% | 916 | 840 | $46K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 423 | 329 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 226 | 205 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 340 | 224 | $5K |
| 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% | 65 | 36 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 112 | 69 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 79 | 77 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 361 | 240 | $3K |
32 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 100 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 136 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 330 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 115 | $695.81 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $668.33 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 49 | $655.11 |
| 99443 | <1% | 21 | $471.09 | |
| 99460 | <1% | 18 | $400.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $342.81 |
| 36415 | Collection of venous blood by venipuncture | <1% | 481 | $333.60 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 35 | $264.00 |
| 94664 | <1% | 45 | $136.00 | |
| 99221 | <1% | 33 | $98.00 | |
| 81002 | <1% | 70 | $87.35 | |
| 96127 | <1% | 54 | $42.63 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 41 | $37.14 |
| 3078F | 0% | 2,212 | $0.00 | |
| 3725F | 0% | 1,944 | $0.00 | |
| 1159F | 0% | 1,018 | $0.00 | |
| 1160F | 0% | 1,326 | $0.00 | |
| 3077F | 0% | 33 | $0.00 | |
| 1036F | 0% | 4,881 | $0.00 | |
| 3074F | 0% | 3,189 | $0.00 | |
| 1126F | 0% | 3,274 | $0.00 | |
| 3008F | 0% | 9,236 | $0.00 | |
| 3075F | 0% | 58 | $0.00 | |
| 3079F | 0% | 584 | $0.00 | |
| 1125F | 0% | 464 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 25 | $0.00 |
| 1034F | 0% | 121 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 99406 | 0% | 12 | $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 officialMUSIC, KRISTINA (DIR PROV ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Lutheran Medical Group LLC | Fort Wayne, IN | $21.97M |
| LA Porte Clinic Company LLC | Valparaiso, IN | $18.77M |
| Vicksburg Clinic LLC | Vicksburg, MS | $15.98M |
| Northwest Allied Physicians LLC | Tucson, AZ | $10.30M |
| Kosciusko Medical Group LLC | Warsaw, IN | $8.81M |
| Knoxville Hma Physician Management, LLC | Knoxville, TN | $8.70M |
| Wesley Physician Services LLC | Hattiesburg, MS | $8.20M |
| Porter Physician Services LLC | Valparaiso, IN | $6.44M |
| Hood Medical Group | Granbury, TX | $6.40M |
| Northwest Physicians LLC | Springdale, AR | $5.81M |
| QHG of Fort Wayne Company LLC | Fort Wayne, IN | $4.24M |
| Vicksburg Clinic LLC | Vicksburg, MS | $4.10M |
| Dukes Physician Services LLC | Peru, IN | $3.72M |
| Bluffton Physician Services LLC | Bluffton, IN | $3.45M |
| Bullhead City Clinic Corp | Bullhead City, AZ | $3.13M |
| Northwest Urgent Care LLC | Tucson, AZ | $2.64M |
| River Oaks Management Company LLC | Jackson, MS | $2.56M |
| Scranton Quincy Clinic Company LLC | Scranton, PA | $2.03M |
| Foley Clinic Corp | Gulf Shores, AL | $2.01M |
| Mat Su Valley Medical Center LLC | Wasilla, AK | $1.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.