Medicaid Provider Spending

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

ATHENS PHYSICIANS PRACTICE LLC

NPI: 1629097738 · ATHENS, TN 37303 · Family Medicine Physician · NPI assigned 07/19/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$610K
Total Medicaid Paid
43,947
Total Claims
34,645
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,148 $127K
2019 4,649 $125K
2020 5,057 $86K
2021 7,740 $78K
2022 6,301 $71K
2023 6,283 $61K
2024 9,769 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,630 9,842 $310K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,416 5,880 $277K
80305 1,458 1,105 $8K
87428 86 51 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 273 192 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36 33 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 67 52 $2K
36415 Collection of venous blood by venipuncture 1,395 1,160 $2K
90674 55 43 $717.22
97597 83 36 $625.16
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) 154 138 $596.89
96127 277 193 $504.16
J1040 Injection, methylprednisolone acetate, 80 mg 41 29 $255.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 33 $243.90
3008F 5,840 4,532 $220.00
3080F 524 354 $110.00
3077F 526 361 $80.00
G0008 Administration of influenza virus vaccine 18 15 $78.24
3078F 1,233 1,024 $20.00
3075F 308 243 $20.00
3074F 1,861 1,586 $20.00
J1885 Injection, ketorolac tromethamine, per 15 mg 19 14 $14.81
1160F 2,481 1,940 $0.00
1159F 2,495 1,953 $0.00
3288F 75 69 $0.00
3725F 268 188 $0.00
1034F 438 376 $0.00
1036F 2,197 1,788 $0.00
3079F 1,045 878 $0.00
1126F 442 399 $0.00
1125F 144 124 $0.00
4010F 18 14 $0.00