Physician
Gwinnett Physician Group, LLC
Gwinnett Physician Group, LLC was paid $8.28M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoGWINNETT PHYSICIAN GROUP, LLC
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
33aNPI1578574661assigned 08/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$8.28M
24GClaims197,906
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#1 of 162
Median peer was paid$12K
This provider vs. median671×
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.
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 | 32,391 | $1.44M | |
| 2019 | 38,230 | $1.73M | |
| 2020 | 16,342 | $471K | |
| 2021 | 24,166 | $892K | |
| 2022 | 34,283 | $1.40M | |
| 2023 | 31,045 | $1.43M | |
| 2024incomplete | 21,449 | $907K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 20,312 | 18,875 | $1.36M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 14,327 | 13,537 | $1.24M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 11,833 | 11,648 | $1.20M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 28,973 | 28,206 | $1.11M |
| 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 | 11% | 9,910 | 9,370 | $905K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 6,625 | 6,546 | $679K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 12,700 | 12,070 | $505K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 2,165 | 2,145 | $245K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 11,388 | 4,224 | $191K |
| 99460 | 2.3% | 2,551 | 2,424 | $189K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 2,413 | 2,303 | $145K |
| 90671 | 1.7% | 852 | 802 | $138K |
59 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,359 | $71K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,941 | $54K |
| 99223 | Prolong inpt eval add15 m | <1% | 735 | $32K |
| 90677 | <1% | 1,331 | $29K | |
| 99188 | <1% | 1,629 | $29K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 747 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,183 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 746 | $17K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,749 | $17K |
| 85018 | <1% | 5,364 | $16K | |
| 99462 | <1% | 315 | $12K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 936 | $11K |
| 99381 | <1% | 188 | $10K | |
| 96161 | <1% | 2,381 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 112 | $5K |
| 96127 | <1% | 1,080 | $5K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 132 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,863 | $3K |
| 76857 | <1% | 36 | $2K | |
| 99463 | <1% | 18 | $2K | |
| 81002 | <1% | 653 | $2K | |
| 59025 | Fetal non-stress test | <1% | 67 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $2K |
| 0071A | <1% | 41 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $2K |
| 0072A | <1% | 29 | $1K | |
| 96380 | <1% | 99 | $748.45 | |
| 90633 | <1% | 3,108 | $593.65 | |
| 36416 | <1% | 5,249 | $540.05 | |
| 81025 | <1% | 93 | $497.35 | |
| 99318 | <1% | 26 | $427.17 | |
| 93000 | <1% | 15 | $326.17 | |
| 90670 | <1% | 6,979 | $262.07 | |
| 90716 | <1% | 581 | $251.32 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $245.37 |
| 90651 | <1% | 210 | $204.87 | |
| 88720 | <1% | 55 | $182.39 | |
| 90707 | <1% | 568 | $145.96 | |
| 90698 | <1% | 8,987 | $88.60 | |
| 99307 | <1% | 81 | $54.38 | |
| 90696 | <1% | 289 | $22.15 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 78 | $2.23 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 82 | $0.02 |
| 90681 | 0% | 2,885 | $0.00 | |
| 90734 | 0% | 246 | $0.00 | |
| 90685 | 0% | 17 | $0.00 | |
| 90710 | 0% | 304 | $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) | 0% | 60 | $0.00 |
| 90687 | 0% | 56 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 81003 | 0% | 28 | $0.00 | |
| 90656 | 0% | 435 | $0.00 | |
| 90686 | 0% | 5,151 | $0.00 | |
| 90744 | 0% | 4,065 | $0.00 | |
| 91307 | 0% | 19 | $0.00 | |
| 1111F | 0% | 259 | $0.00 | |
| 1123F | 0% | 62 | $0.00 | |
| 90620 | 0% | 28 | $0.00 | |
| 90381 | 0% | 34 | $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 officialHERNANDEZ, JORGE (EXECUTIVE DIRECTOR)
Parent organizationNORTHSIDE HOSPITAL, INC
| Provider | Location | Paid |
|---|---|---|
| North Atlanta Professional Services LLC | Atlanta, GA | $849K |
| Georgia Surgical Professional Services, LLC | Atlanta, GA | $709K |
| Walmart #2067 | Mayaguez, PR | $98K |
| Walmart #2501 | Bayamon, PR | $59K |
| Walmart #2085 | Isabela, PR | $37K |
| Pulmonary Medicine Associates, P.A. | Ocoee, FL | $4K |
| NSH Cancer Institute Professional Services G, LLC | Atlanta, GA | $3K |
| Jorge L Hernandez MD PA | Bradenton, FL | $3K |
| Walmart #1854 | Hatillo, PR | $999.90 |
| Northside Hospital, INC. | Atlanta, GA | $953.17 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.