Medicaid Provider Spending

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

CROSSGATES HMA MEDICAL GROUP LLC

NPI: 1639401524 · BRANDON, MS 39042 · Nurse Practitioner · NPI assigned 02/03/2010

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

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$183K
Total Medicaid Paid
25,889
Total Claims
18,188
Beneficiaries
32
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (DIRECTOR)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date02/03/2010

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,080 4,666 $147K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,072 708 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 42 29 $3K
87428 36 26 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 97 64 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 29 $1K
80305 353 206 $908.04
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 154 58 $764.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 160 80 $536.92
36415 Collection of venous blood by venipuncture 1,378 969 $442.65
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 15 15 $271.88
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 33 $227.98
1125F 947 701 $101.00
81003 241 154 $73.66
85025 Blood count; complete (CBC), automated, and automated differential WBC count 116 65 $68.81
83036 Hemoglobin; glycosylated (A1C) 78 53 $66.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 12 $63.04
3008F 3,111 2,353 $13.29
1160F 1,960 1,512 $12.55
1034F 218 144 $0.00
3074F 844 660 $0.00
1036F 3,318 2,300 $0.00
3075F 241 179 $0.00
1126F 1,388 1,041 $0.00
3079F 425 332 $0.00
1170F 20 12 $0.00
3078F 920 714 $0.00
1159F 1,332 914 $0.00
3077F 63 53 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 88 45 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 43 37 $0.00
3725F 35 24 $0.00