Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1598710147 · POPLAR BLUFF, MO 63901 · Psychiatry Physician · NPI assigned 05/23/2006

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

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$9.93M
Total Medicaid Paid
371,656
Total Claims
305,425
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 88,825 $2.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39,541 34,118 $2.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,880 40,510 $1.62M
99232 Subsequent hospital care, per day, moderate complexity 24,763 10,046 $821K
90792 Psychiatric diagnostic evaluation with medical services 5,897 5,433 $668K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,385 6,009 $545K
43249 1,835 1,704 $544K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,436 4,143 $521K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,981 1,872 $433K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,921 6,425 $356K
99233 Prolong inpt eval add15 m 5,236 2,452 $286K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,380 1,306 $271K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,571 4,187 $264K
99238 Hospital discharge day management, 30 minutes or less 6,110 5,642 $248K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,570 2,881 $234K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,867 3,595 $185K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,138 4,994 $113K
99239 Hospital discharge day management, more than 30 minutes 1,540 1,385 $100K
99460 1,235 1,127 $80K
20610 2,823 2,412 $79K
11045 705 308 $46K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,340 1,231 $45K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 736 592 $40K
11043 494 281 $34K
99205 Prolong outpt/office vis 291 265 $32K
31575 612 567 $31K
99222 Initial hospital care, per day, moderate complexity 557 527 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 125 51 $19K
91200 108 98 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 60 53 $11K
92567 1,168 1,112 $11K
99221 612 511 $11K
17250 474 226 $10K
93458 76 63 $10K
93015 183 148 $8K
99215 Prolong outpt/office vis 87 75 $8K
76801 98 89 $7K
93000 686 600 $7K
94726 977 928 $6K
99254 30 30 $5K
99406 754 658 $4K
94729 977 928 $4K
97597 100 80 $4K
94010 777 757 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 38 36 $3K
77427 33 13 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 725 579 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 13 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 689 537 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 430 392 $2K
43264 12 12 $1K
93280 57 54 $1K
99253 13 12 $1K
99152 107 91 $1K
94060 252 224 $1K
95117 247 114 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 89 $937.91
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 241 224 $918.76
51741 33 29 $779.12
15271 22 12 $753.18
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 13 $688.22
81002 341 267 $664.18
99462 17 14 $588.20
93272 89 89 $539.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 345 305 $452.76
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 162 78 $449.76
51798 39 35 $293.89
69210 13 12 $177.45
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17 17 $138.92
81025 25 24 $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) 45 41 $87.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 232 208 $47.74
J0696 Injection, ceftriaxone sodium, per 250 mg 46 43 $23.46
36415 Collection of venous blood by venipuncture 93 90 $1.80
3008F 34,312 29,372 $0.00
3074F 18,228 15,849 $0.00
1125F 12,131 10,510 $0.00
3079F 4,910 4,354 $0.00
1034F 7,533 6,137 $0.00
3075F 3,755 3,289 $0.00
1036F 26,166 22,525 $0.00
1101F 94 85 $0.00
3080F 786 693 $0.00
1126F 5,350 4,739 $0.00
1170F 291 284 $0.00
G0008 Administration of influenza virus vaccine 101 99 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 153 126 $0.00
90688 14 14 $0.00
3078F 22,626 19,615 $0.00
1160F 16,572 14,482 $0.00
1159F 14,917 12,966 $0.00
3077F 5,933 5,212 $0.00
3725F 851 697 $0.00
3288F 96 84 $0.00
1090F 162 152 $0.00
90662 14 14 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 16 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00