Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › KNOXVILLE › KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC

KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1629356969 · KNOXVILLE, TN 37917 · Internal Medicine Physician · NPI assigned 08/03/2011

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$8.70M
Total Medicaid Paid
871,295
Total Claims
666,231
Beneficiaries
163
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PE; AUTHORIZED OFFICIAL)
Parent OrganizationCOMMUNITY HEALTH SYSTEMS
NPI Enumeration Date08/03/2011

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M
MEDSTAT LLC WARSAW IN $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55,360 $1.20M
2019 52,194 $1.25M
2020 60,366 $1.34M
2021 181,036 $1.81M
2022 175,530 $1.07M
2023 177,341 $1.03M
2024 169,468 $1.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 100,171 77,106 $2.86M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76,918 62,138 $1.90M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,342 11,419 $798K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 9,673 7,424 $602K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,106 6,046 $287K
76819 Fetal biophysical profile; without non-stress testing 3,556 1,648 $158K
76830 Ultrasound, transvaginal 2,747 2,340 $150K
99215 Prolong outpt/office vis 3,148 2,205 $146K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,873 1,618 $127K
76820 3,188 1,482 $122K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,603 1,127 $117K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,500 5,483 $112K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,589 1,772 $109K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,049 1,673 $100K
99232 Subsequent hospital care, per day, moderate complexity 5,848 2,065 $85K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,028 1,539 $76K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 894 802 $61K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 46 44 $57K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 756 670 $54K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,784 5,826 $51K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 495 338 $51K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,701 2,142 $48K
99223 Prolong inpt eval add15 m 881 681 $39K
99205 Prolong outpt/office vis 427 358 $35K
36415 Collection of venous blood by venipuncture 32,608 26,572 $32K
52000 598 466 $31K
90791 Psychiatric diagnostic evaluation 780 681 $31K
99222 Initial hospital care, per day, moderate complexity 894 675 $28K
11721 6,082 4,309 $27K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 429 245 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 601 546 $25K
99443 1,264 964 $23K
99308 Subsequent nursing facility care, per day, straightforward 2,279 1,842 $22K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 175 162 $20K
59426 38 34 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,005 858 $17K
99442 950 809 $15K
76801 206 181 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 1,326 496 $11K
59425 37 35 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 665 312 $11K
43248 97 83 $9K
54150 56 53 $8K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 670 517 $8K
81025 1,850 1,547 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 203 165 $8K
94010 815 682 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 286 264 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 6,153 4,355 $6K
99423 279 210 $6K
3074F 63,623 50,265 $5K
77427 181 52 $5K
3079F 26,887 21,298 $4K
3078F 50,849 39,954 $4K
81002 2,669 2,164 $4K
81003 6,121 4,659 $4K
99441 331 298 $4K
96127 1,485 1,183 $4K
99233 Prolong inpt eval add15 m 189 81 $4K
90686 565 421 $4K
99385 52 37 $3K
45384 45 25 $3K
97803 97 81 $3K
93016 403 331 $3K
52356 14 12 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 325 269 $3K
87428 51 47 $2K
93018 403 331 $2K
93351 91 62 $2K
93000 351 277 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 354 276 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 326 253 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 294 234 $2K
3077F 7,763 5,825 $2K
99406 308 273 $2K
G0444 Annual depression screening, 5 to 15 minutes 3,430 2,383 $2K
82962 1,985 1,465 $2K
43450 144 120 $2K
3075F 9,740 7,402 $2K
87210 853 695 $2K
99422 102 90 $2K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,411 1,602 $2K
59025 Fetal non-stress test 54 40 $2K
90715 55 41 $2K
80061 Lipid panel 1,799 1,350 $2K
80305 368 300 $2K
99454 848 640 $2K
11750 18 12 $2K
99304 96 76 $2K
3080F 3,567 2,670 $2K
90688 125 90 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17 17 $1K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 133 101 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 591 501 $1K
99386 13 13 $1K
83036 Hemoglobin; glycosylated (A1C) 1,858 1,397 $1K
52310 15 12 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 1,775 1,243 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 71 61 $1K
73630 119 77 $1K
99238 Hospital discharge day management, 30 minutes or less 62 53 $981.06
77014 155 13 $943.22
77300 51 37 $936.16
83013 50 46 $929.28
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15 14 $924.63
96110 Developmental screening, with scoring and documentation, per standardized instrument 64 52 $921.44
91200 42 38 $830.64
43235 13 12 $818.39
0500F 262 247 $798.63
93350 21 16 $721.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 99 66 $669.51
J1885 Injection, ketorolac tromethamine, per 15 mg 545 398 $559.92
96160 824 512 $551.32
77290 43 12 $491.46
1170F 6,229 4,388 $446.46
76981 13 12 $417.73
77334 21 12 $394.79
99231 Subsequent hospital care, per day, straightforward or low complexity 78 25 $392.28
77263 17 12 $372.51
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 12 12 $372.42
99457 185 136 $342.23
99305 15 13 $323.13
73564 20 15 $299.63
97597 37 24 $275.08
92551 45 31 $251.71
20610 23 14 $228.21
G0008 Administration of influenza virus vaccine 439 325 $220.66
83014 50 46 $206.68
99307 32 28 $204.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 436 303 $168.43
99173 28 19 $153.96
3008F 112,076 86,479 $105.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,345 1,010 $104.12
J0696 Injection, ceftriaxone sodium, per 250 mg 93 63 $95.82
11720 12 12 $77.32
J1010 Injection, methylprednisolone acetate, 1 mg 76 42 $69.17
0502F 20,305 14,888 $40.00
86580 17 13 $32.93
90461 65 12 $16.82
82044 22 14 $10.84
99453 17 12 $7.39
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) 33 20 $3.49
1090F 5,270 3,827 $2.60
85610 23 12 $0.25
1036F 79,164 61,094 $0.04
1034F 26,999 20,018 $0.02
1160F 39,527 29,048 $0.02
1159F 33,558 24,643 $0.01
1125F 3,320 2,536 $0.00
1101F 4,942 3,570 $0.00
1126F 3,908 3,244 $0.00
1035F 100 80 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,931 2,150 $0.00
99024 1,007 799 $0.00
G0009 Administration of pneumococcal vaccine 22 12 $0.00
3288F 2,268 1,577 $0.00
99499 1,980 1,566 $0.00
3725F 6,210 4,604 $0.00
90662 91 75 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,672 1,218 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 646 522 $0.00
90670 22 12 $0.00
1100F 15 13 $0.00