Medicaid Provider Spending

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

COGENT HEALTHCARE OF GEORGIA PC

NPI: 1609827823 · MACON, GA 31210 · Family Medicine Physician · NPI assigned 05/12/2006

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

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$4.65M
Total Medicaid Paid
144,550
Total Claims
58,827
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,137 $330K
2019 28,555 $826K
2020 25,560 $792K
2021 22,438 $804K
2022 19,206 $757K
2023 25,867 $812K
2024 9,787 $332K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 19,420 14,663 $1.37M
99233 Prolong inpt eval add15 m 48,758 15,445 $1.31M
99232 Subsequent hospital care, per day, moderate complexity 41,739 13,662 $1.21M
99239 Hospital discharge day management, more than 30 minutes 8,323 6,195 $277K
99222 Initial hospital care, per day, moderate complexity 2,505 2,021 $126K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 16,169 488 $119K
99220 783 589 $68K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 364 346 $24K
99238 Hospital discharge day management, 30 minutes or less 842 646 $22K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,553 1,127 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 287 283 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 233 215 $15K
99308 Subsequent nursing facility care, per day, straightforward 1,190 1,104 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 77 52 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71 60 $7K
99307 863 772 $7K
99219 96 72 $6K
99283 Emergency department visit for the evaluation and management, moderate severity 112 107 $6K
99497 275 208 $6K
99284 Emergency department visit for the evaluation and management, high severity 56 55 $5K
99306 Prolong nursin fac eval 15m 105 104 $3K
99221 54 46 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 30 30 $1K
99217 22 18 $752.06
99231 Subsequent hospital care, per day, straightforward or low complexity 24 12 $730.12
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 248 188 $726.73
99310 Prolong nursin fac eval 15m 28 23 $372.33
99460 15 14 $282.54
99282 Emergency department visit for the evaluation and management, low to moderate severity 14 13 $243.00
87807 12 12 $180.96
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15 15 $168.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 13 $127.01
90686 18 18 $0.00
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 17 16 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 15 13 $0.00
1159F 60 52 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 86 80 $0.00
1160F 58 50 $0.00