Medicaid Provider Spending

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

SHELBYVILLE HOSPITAL COMPANY LLC

NPI: 1619496197 · SHELBYVILLE, TN 37160 · Family Medicine Physician · NPI assigned 09/15/2017

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

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

$999K
Total Medicaid Paid
54,909
Total Claims
35,703
Beneficiaries
46
Codes Billed
2018-04
First Month
2020-12
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
NPI Enumeration Date09/15/2017

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal Paid
POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO $9.93M
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
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 18,551 $245K
2019 24,844 $477K
2020 11,514 $277K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,777 13,794 $553K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,362 3,456 $188K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,096 814 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,984 4,304 $38K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 451 300 $23K
92587 1,180 810 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,568 1,060 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,343 1,710 $21K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 460 277 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,865 1,258 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 1,335 875 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 247 158 $14K
99173 1,137 770 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 504 306 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 42 32 $2K
90686 350 237 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $1K
81002 771 548 $1K
36415 Collection of venous blood by venipuncture 584 365 $634.29
1125F 845 602 $580.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 108 69 $522.45
1126F 475 351 $461.91
3074F 474 365 $381.91
1160F 720 555 $311.91
3079F 166 132 $280.00
3078F 388 293 $271.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,032 650 $252.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 13 $227.80
J0696 Injection, ceftriaxone sodium, per 250 mg 53 36 $209.30
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 12 $194.00
99441 20 12 $166.34
90461 1,005 386 $138.48
3075F 43 33 $120.00
96127 14 13 $41.62
3077F 32 25 $30.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 774 570 $0.00
1159F 82 68 $0.00
1090F 14 12 $0.00
90670 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 94 67 $0.00
1036F 335 259 $0.00
1170F 34 28 $0.00
G0008 Administration of influenza virus vaccine 36 13 $0.00
94760 24 16 $0.00
3008F 14 12 $0.00
90698 12 12 $0.00