Medicaid Provider Spending

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

WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC

NPI: 1639122690 · WILLIAMSON, WV 25661 · Vascular Surgery Physician · NPI assigned 05/18/2006

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

Authorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more

$174K
Total Medicaid Paid
4,952
Total Claims
4,366
Beneficiaries
18
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: GINGRAS, MICHAEL

ProviderCityStateTotal Paid
DURANT HMA PHYSICIAN MANAGEMENT, LLC DURANT OK $6.90M
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC MIDWEST CITY OK $2.41M
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC TULLAHOMA TN $2.25M
CHESTER MEDICAL GROUP, LLC CHESTER SC $960K
LEBANON HMA PHYSICIAN MANAGEMENT LLC LEBANON TN $190K
KENNETT HMA PHYSICIAN MANAGEMENT, LLC KENNETT MO $32K
STARKE HMA MEDICAL GROUP LLC STARKE FL $6K
LIVE OAK HMA MEDICAL GROUP, LLC LIVE OAK FL $3K
FT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $2K
FT SMITH HMA PBC MANAGEMENT, LLC SPIRO OK $865.40
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC PUNTA GORDA FL $490.68
JAMESTOWN HMA PHYSICIAN MANAGEMENT LLC JAMESTOWN TN $373.05

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,992 $103K
2019 1,558 $55K
2020 402 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,815 1,570 $64K
99284 Emergency department visit for the evaluation and management, high severity 495 420 $27K
99283 Emergency department visit for the evaluation and management, moderate severity 802 731 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 272 252 $15K
36415 Collection of venous blood by venipuncture 408 377 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 305 260 $9K
99308 Subsequent nursing facility care, per day, straightforward 367 325 $6K
99232 Subsequent hospital care, per day, moderate complexity 28 16 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 28 25 $2K
99307 213 191 $2K
90688 41 39 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 59 58 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 26 $1K
G0008 Administration of influenza virus vaccine 15 13 $842.73
99215 Prolong outpt/office vis 21 15 $811.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 24 19 $803.01
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $468.82
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 17 $436.88