Physician
Poplar Bluff Hma Physician Management, LLC
Poplar Bluff Hma Physician Management, LLC was paid $9.93M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoPOPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
33aNPI1598710147assigned 05/23/2006
33bProvider typePsychiatry Physician
28Total paid$9.93M
24GClaims371,656
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Missouri
Rank by total paid#1 of 199
Median peer was paid$20K
This provider vs. median485×
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 WRIGHT, JAMES 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 | 20,810 | $588K | |
| 2019 | 18,270 | $578K | |
| 2020 | 20,593 | $764K | |
| 2021 | 52,010 | $1.08M | |
| 2022 | 82,349 | $1.81M | |
| 2023 | 88,799 | $2.80M | |
| 2024incomplete | 88,825 | $2.31M |
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 | 22% | 39,541 | 34,118 | $2.13M |
| 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% | 45,880 | 40,510 | $1.62M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.3% | 24,763 | 10,046 | $821K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 6.7% | 5,897 | 5,433 | $668K |
| 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 | 5.5% | 6,385 | 6,009 | $545K |
| 43249 | 5.5% | 1,835 | 1,704 | $544K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.2% | 4,436 | 4,143 | $521K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.4% | 1,981 | 1,872 | $433K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.6% | 6,921 | 6,425 | $356K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 5,236 | 2,452 | $286K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.7% | 1,380 | 1,306 | $271K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 4,571 | 4,187 | $264K |
86 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 2.5% | 6,110 | $248K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.4% | 5,570 | $234K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.9% | 7,867 | $185K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 6,138 | $113K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 1,540 | $100K |
| 99460 | <1% | 1,235 | $80K | |
| 20610 | <1% | 2,823 | $79K | |
| 11045 | <1% | 705 | $46K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,340 | $45K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 736 | $40K |
| 11043 | <1% | 494 | $34K | |
| 99205 | Prolong outpt/office vis | <1% | 291 | $32K |
| 31575 | <1% | 612 | $31K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 557 | $23K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 125 | $19K |
| 91200 | <1% | 108 | $18K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 60 | $11K |
| 92567 | <1% | 1,168 | $11K | |
| 99221 | <1% | 612 | $11K | |
| 17250 | <1% | 474 | $10K | |
| 93458 | <1% | 76 | $10K | |
| 93015 | <1% | 183 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 87 | $8K |
| 76801 | <1% | 98 | $7K | |
| 93000 | <1% | 686 | $7K | |
| 94726 | <1% | 977 | $6K | |
| 99254 | <1% | 30 | $5K | |
| 99406 | <1% | 754 | $4K | |
| 94729 | <1% | 977 | $4K | |
| 97597 | <1% | 100 | $4K | |
| 94010 | <1% | 777 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 38 | $3K |
| 77427 | <1% | 33 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 725 | $2K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 13 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 689 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 430 | $2K |
| 43264 | <1% | 12 | $1K | |
| 93280 | <1% | 57 | $1K | |
| 99253 | <1% | 13 | $1K | |
| 99152 | <1% | 107 | $1K | |
| 94060 | <1% | 252 | $1K | |
| 95117 | <1% | 247 | $1K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 92 | $937.91 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 241 | $918.76 |
| 51741 | <1% | 33 | $779.12 | |
| 15271 | <1% | 22 | $753.18 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 14 | $688.22 |
| 81002 | <1% | 341 | $664.18 | |
| 99462 | <1% | 17 | $588.20 | |
| 93272 | <1% | 89 | $539.66 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 345 | $452.76 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 162 | $449.76 |
| 51798 | <1% | 39 | $293.89 | |
| 69210 | <1% | 13 | $177.45 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 17 | $138.92 |
| 81025 | <1% | 25 | $137.60 | |
| 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) | <1% | 45 | $87.64 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 232 | $47.74 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 46 | $23.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 93 | $1.80 |
| 3008F | 0% | 34,312 | $0.00 | |
| 3074F | 0% | 18,228 | $0.00 | |
| 1125F | 0% | 12,131 | $0.00 | |
| 3079F | 0% | 4,910 | $0.00 | |
| 1034F | 0% | 7,533 | $0.00 | |
| 3075F | 0% | 3,755 | $0.00 | |
| 1036F | 0% | 26,166 | $0.00 | |
| 1101F | 0% | 94 | $0.00 | |
| 3080F | 0% | 786 | $0.00 | |
| 1126F | 0% | 5,350 | $0.00 | |
| 1170F | 0% | 291 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 101 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 153 | $0.00 |
| 90688 | 0% | 14 | $0.00 | |
| 3078F | 0% | 22,626 | $0.00 | |
| 1160F | 0% | 16,572 | $0.00 | |
| 1159F | 0% | 14,917 | $0.00 | |
| 3077F | 0% | 5,933 | $0.00 | |
| 3725F | 0% | 851 | $0.00 | |
| 3288F | 0% | 96 | $0.00 | |
| 1090F | 0% | 162 | $0.00 | |
| 90662 | 0% | 14 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 16 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $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 officialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | Paid |
|---|---|---|
| Crestwood Physician Services, LLC | Huntsville, AL | $1.52M |
| Fort Smith Hma PBC Management, LLC | Fort Smith, AR | $1.34M |
| Porter Health Services, LLC. | Valparaiso, IN | $1.28M |
| Wiregrass Clinic LLC | Dothan, AL | $697K |
| Madison Hma Physician Management LLC | Canton, MS | $677K |
| Shelbyville Clinic Corp | Shelbyville, TN | $512K |
| Franklin Clinic Corp | Franklin, VA | $369K |
| Town of Sharon | Sharon, MA | $348K |
| Clarksdale Hma Physician Management LLC | Clarksdale, MS | $247K |
| Lake Shore Hma Medical Group LLC | Lake City, FL | $193K |
| Campbell County Hma, LLC | La Follette, TN | $186K |
| Crossgates Hma Medical Group LLC | Brandon, MS | $183K |
| Preferred Living INC | Ville Platte, LA | $168K |
| Deaconess Physician Services LLC | Oklahoma City, OK | $161K |
| Carolinas Medical Alliance INC | Florence, SC | $93K |
| Carolina Surgery Center LLC | Fort Mill, SC | $64K |
| Haines City Hma Physician Management, LLC | Davenport, FL | $28K |
| Bluefield HBP Medical Group LLC | Bluefield, WV | $23K |
| Lake Wales Clinic Corp | Lake Wales, FL | $20K |
| Campbell County Hma, LLC | La Follette, TN | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.