NP / PA
Crossgates Hma Medical Group LLC
Crossgates Hma Medical Group LLC was paid $183K by Medicaid between Jan 2018 and Dec 2023, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoCROSSGATES HMA MEDICAL GROUP LLC
BRANDON, MS 39042
BRANDON, MS 39042
33aNPI1639401524assigned 02/03/2010
33bProvider typeNurse Practitioner
28Total paid$183K
24GClaims25,889
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Nurse Practitioner providers in Mississippi
Rank by total paid#26 of 85
Median peer was paid$35K
This provider vs. median5.2×
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 WRIGHT, JAMES controls 20+ 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 | 2,091 | $32K | |
| 2019 | 1,850 | $30K | |
| 2020 | 2,088 | $40K | |
| 2021 | 6,314 | $33K | |
| 2022 | 7,609 | $32K | |
| 2023 | 5,937 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 7,080 | 4,666 | $147K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,072 | 708 | $26K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 42 | 29 | $3K |
| 87428 | <1% | 36 | 26 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 97 | 64 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 40 | 29 | $1K |
| 80305 | <1% | 353 | 206 | $908.04 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 154 | 58 | $764.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 160 | 80 | $536.92 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,378 | 969 | $442.65 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 15 | 15 | $271.88 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | 33 | $227.98 |
20 more codes
| 1125F | <1% | 947 | $101.00 | |
| 81003 | <1% | 241 | $73.66 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 116 | $68.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 78 | $66.51 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 20 | $63.04 |
| 3008F | <1% | 3,111 | $13.29 | |
| 1160F | <1% | 1,960 | $12.55 | |
| 1034F | 0% | 218 | $0.00 | |
| 3074F | 0% | 844 | $0.00 | |
| 1036F | 0% | 3,318 | $0.00 | |
| 3075F | 0% | 241 | $0.00 | |
| 1126F | 0% | 1,388 | $0.00 | |
| 3079F | 0% | 425 | $0.00 | |
| 1170F | 0% | 20 | $0.00 | |
| 3078F | 0% | 920 | $0.00 | |
| 1159F | 0% | 1,332 | $0.00 | |
| 3077F | 0% | 63 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 88 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 43 | $0.00 |
| 3725F | 0% | 35 | $0.00 |
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 officialWRIGHT, JAMES (DIRECTOR)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | 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 |
| Campbell County Hma, LLC | La Follette, TN | $186K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.