Medicaid Provider Spending

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

MARTIN MEMORIAL PHYSICIAN CORPORATION INC

NPI: 1578505228 · STUART, FL 34994 · Specialist · NPI assigned 06/10/2006

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

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$3.68M
Total Medicaid Paid
182,841
Total Claims
151,471
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date06/10/2006

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,561 $47K
2019 27,971 $520K
2020 29,888 $438K
2021 42,410 $864K
2022 44,492 $1.03M
2023 29,015 $645K
2024 6,504 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,532 17,558 $1.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,980 10,421 $739K
90460 Immunization administration through 18 years of age via any route, first or only component 11,469 8,670 $235K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,974 1,927 $222K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,767 2,666 $174K
H1000 Prenatal care, at-risk assessment 3,610 2,814 $156K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,374 1,310 $154K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,461 1,737 $153K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,295 1,552 $99K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 856 828 $94K
76819 Fetal biophysical profile; without non-stress testing 1,714 807 $60K
90461 2,474 2,109 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 676 631 $49K
99490 Ccm add 20min 662 629 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 270 258 $32K
99233 Prolong inpt eval add15 m 1,257 512 $31K
99232 Subsequent hospital care, per day, moderate complexity 1,840 566 $27K
99223 Prolong inpt eval add15 m 493 385 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 535 393 $16K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 25 24 $15K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 529 404 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 190 159 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 955 929 $7K
76801 143 106 $6K
99239 Hospital discharge day management, more than 30 minutes 157 121 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 818 421 $5K
99222 Initial hospital care, per day, moderate complexity 166 129 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 134 86 $4K
99220 48 39 $4K
H1001 Prenatal care, at-risk enhanced service; antepartum management 53 45 $3K
76820 205 101 $3K
76813 82 63 $2K
0072A 53 51 $2K
93000 480 383 $2K
95816 129 75 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 481 344 $1K
0071A 36 33 $1K
85018 844 820 $1K
1160F 22,423 19,363 $1K
81002 871 569 $1K
99215 Prolong outpt/office vis 28 26 $935.74
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 77 $905.99
90670 851 828 $760.86
92567 139 135 $609.21
90686 505 490 $524.96
0001A 18 15 $520.00
90688 738 705 $504.28
99217 17 12 $447.12
0012A 63 53 $444.00
59430 15 12 $401.28
0011A 82 66 $400.05
90698 688 669 $274.58
87430 44 42 $239.85
3074F 25,310 21,279 $228.69
3078F 25,007 20,039 $228.69
1159F 22,423 19,366 $228.69
91300 33 28 $200.00
81025 63 60 $156.96
99177 2,054 1,798 $149.40
96127 354 307 $146.60
90970 130 25 $130.77
92551 1,436 1,260 $113.80
99308 Subsequent nursing facility care, per day, straightforward 19 12 $44.13
94664 15 12 $41.79
82962 88 78 $6.09
90633 77 75 $0.03
1126F 3,693 3,237 $0.00
90680 228 227 $0.00
3048F 168 135 $0.00
99024 29 26 $0.00
36416 39 29 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 28 25 $0.00
90744 24 24 $0.00
3079F 78 64 $0.00
90656 16 16 $0.00
99459 19 12 $0.00
1125F 38 37 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 65 61 $0.00
99173 25 25 $0.00
90685 14 14 $0.00
99497 16 12 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 26 20 $0.00