Physician
Williamson Hma Physician Management LLC
Williamson Hma Physician Management LLC was paid $174K by Medicaid between Jan 2018 and Apr 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoWILLIAMSON HMA PHYSICIAN MANAGEMENT LLC
WILLIAMSON, WV 25661
WILLIAMSON, WV 25661
33aNPI1639122690assigned 05/18/2006
33bProvider typeVascular Surgery Physician
28Total paid$174K
24GClaims4,952
24DCodes billed18
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Vascular Surgery Physician providers in West Virginia
Rank by total paid#5 of 12
Median peer was paid$29K
This provider vs. median6.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,992 | $103K | |
| 2019 | 1,558 | $55K | |
| 2020 | 402 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,815 | 1,570 | $64K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 495 | 420 | $27K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 802 | 731 | $26K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.7% | 272 | 252 | $15K |
| 36415 | Collection of venous blood by venipuncture | 6.9% | 408 | 377 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.0% | 305 | 260 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 367 | 325 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 28 | 16 | $3K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.3% | 28 | 25 | $2K |
| 99307 | 1.2% | 213 | 191 | $2K | |
| 90688 | 1.1% | 41 | 39 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 59 | 58 | $2K |
6 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $842.73 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 21 | $811.08 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 24 | $803.01 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $468.82 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | $436.88 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.