Medicaid Provider Spending

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

STATESVILLE HMA MEDICAL GROUP, LLC

NPI: 1639407737 · STATESVILLE, NC 28625 · Family Medicine Physician · NPI assigned 12/01/2009

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

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$2.68M
Total Medicaid Paid
169,296
Total Claims
118,987
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING)
Parent OrganizationSTATESVILLE HMA MEDICAL GROUP LLC
NPI Enumeration Date12/01/2009

Related Entities

Other providers sharing the same authorized official: JACKSON, JENNIFER

ProviderCityStateTotal Paid
LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM $62.87M
ROSWELL CLINIC CORP ROSWELL NM $14.65M
PECOS VALLEY OF NEW MEXICO, LLC CARLSBAD NM $6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC CORSICANA TX $4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC FLOWOOD MS $2.83M
HEARTLAND COUNSELING SERVICES, INC. SOUTH SIOUX CITY NE $2.31M
MOORESVILLE PPM LLC MOORESVILLE NC $1.35M
SCRANTON QUINCY AMBULANCE LLC SCRANTON PA $1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC SPRING HILL FL $1.14M
INTERMOUNTAIN MEDICAL GROUP, INC KINGSTON PA $1.09M
ROSWELL HOSPITAL CORPORATION ROSWELL NM $714K
WOODWARD CLINIC COMPANY, LLC WOODWARD OK $598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC BILOXI MS $585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC EL DORADO AR $495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC CUDJOE KEY FL $406K
MOORESVILLE PPM LLC MOORESVILLE NC $385K
HEARTLAND COUNSELING SERVICES, INC. ONEILL NE $295K
NORTHWEST CARDIOLOGY LLC TUCSON AZ $265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC RONCEVERTE WV $224K
STATESBORO HMA PHYSICIAN MANAGEMENT LLC STATESBORO GA $180K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,934 $458K
2019 18,945 $741K
2020 14,914 $572K
2021 46,204 $527K
2022 51,456 $325K
2023 9,071 $26K
2024 8,772 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,494 12,441 $906K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,888 9,435 $532K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,624 2,271 $222K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,888 1,662 $163K
90460 Immunization administration through 18 years of age via any route, first or only component 3,012 2,672 $148K
99232 Subsequent hospital care, per day, moderate complexity 3,219 1,052 $108K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,349 1,236 $93K
99199 Unlisted special service, procedure or report 26,964 26,500 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 701 367 $52K
99238 Hospital discharge day management, 30 minutes or less 838 703 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,600 1,120 $36K
99460 546 461 $29K
99239 Hospital discharge day management, more than 30 minutes 491 384 $26K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 314 218 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,107 2,687 $22K
76819 Fetal biophysical profile; without non-stress testing 411 159 $20K
93351 262 171 $18K
99221 313 256 $15K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 13 12 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 402 198 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 766 270 $12K
59426 21 19 $10K
96160 2,443 2,189 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 146 68 $8K
93000 1,154 1,036 $8K
83655 537 476 $7K
59025 Fetal non-stress test 337 201 $5K
99215 Prolong outpt/office vis 50 46 $5K
81025 883 477 $4K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 112 98 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 69 38 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 27 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 200 155 $3K
96161 694 654 $2K
99462 129 83 $2K
36415 Collection of venous blood by venipuncture 958 588 $2K
90474 110 97 $2K
81001 1,584 1,062 $2K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 16 13 $2K
20610 62 40 $2K
76801 17 15 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90 81 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 443 396 $1K
87807 101 64 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 16 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 170 108 $1K
99443 13 12 $906.91
99222 Initial hospital care, per day, moderate complexity 14 12 $883.16
51798 174 90 $540.49
D0145 Oral evaluation for a patient under three years of age 15 15 $518.25
80305 272 96 $508.15
81003 417 206 $486.28
96127 128 116 $482.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 30 $409.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 88 65 $284.49
D1206 Topical application of fluoride varnish 15 15 $228.75
85018 520 469 $134.22
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $101.80
86703 21 13 $74.83
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55 32 $63.02
80061 Lipid panel 23 14 $55.19
80053 Comprehensive metabolic panel 23 14 $44.42
86592 22 13 $21.60
1036F 9,957 5,468 $0.00
90680 1,079 1,020 $0.00
90698 1,571 1,481 $0.00
1125F 1,779 1,196 $0.00
3074F 8,890 4,899 $0.00
3008F 11,929 6,752 $0.00
1126F 650 460 $0.00
3079F 2,262 1,398 $0.00
90744 740 707 $0.00
1034F 1,280 854 $0.00
0501F 43 27 $0.00
3075F 229 162 $0.00
90716 59 57 $0.00
3080F 205 140 $0.00
90686 291 248 $0.00
92551 13 12 $0.00
99024 13 13 $0.00
90688 13 13 $0.00
90685 95 90 $0.00
90633 485 413 $0.00
3078F 6,846 3,895 $0.00
1159F 10,246 5,771 $0.00
90670 1,611 1,511 $0.00
0502F 2,769 1,448 $0.00
1160F 12,138 6,927 $0.00
99173 92 81 $0.00
3077F 352 239 $0.00
3725F 185 118 $0.00
90707 45 44 $0.00