NP / PA
Hospitalmd PTC Ga, INC
Hospitalmd PTC Ga, INC was paid $286K by Medicaid between Jan 2018 and Apr 2020, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.
33Billing provider infoHOSPITALMD PTC GA, INC
FORSYTH, GA 31029
FORSYTH, GA 31029
33aNPI1609116375assigned 02/18/2013
33bProvider typeNurse Practitioner
28Total paid$286K
24GClaims6,448
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Nurse Practitioner providers in Georgia
Rank by total paid#5 of 32
Median peer was paid$4K
This provider vs. median76×
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 | 3,206 | $127K | |
| 2019 | 2,550 | $126K | |
| 2020 | 692 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 52% | 2,896 | 2,623 | $149K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 3,171 | 2,796 | $107K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 10% | 364 | 340 | $29K |
| 20552 | <1% | 17 | 12 | $424.55 |
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 officialBURNETTE, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hill Hospital of York | York, AL | $145K |
| Hospitalmd of Caro, INC. | Caro, MI | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.