Medicaid Provider Spending

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

ENTERPRISE CLINIC LLC

NPI: 1639491616 · ENTERPRISE, AL 36330 · Internal Medicine Physician · NPI assigned 02/18/2010

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$81K
Total Medicaid Paid
6,200
Total Claims
4,350
Beneficiaries
21
Codes Billed
2018-02
First Month
2024-03
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR, PROVIDER ENROLLMENT)
Parent OrganizationENTERPRISE CLINIC LLC
NPI Enumeration Date02/18/2010

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,327 $9K
2019 1,262 $21K
2020 658 $12K
2021 670 $14K
2022 696 $11K
2023 559 $14K
2024 28 $945.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,526 1,114 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 730 656 $17K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,192 1,114 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 262 147 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131 75 $3K
93000 112 98 $2K
93016 27 25 $328.04
81003 950 277 $327.44
93018 27 25 $264.20
81025 130 43 $87.52
36415 Collection of venous blood by venipuncture 204 53 $22.00
81000 193 145 $0.00
1036F 66 59 $0.00
3008F 150 127 $0.00
3074F 44 42 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 43 37 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 37 30 $0.00
3078F 31 30 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 37 29 $0.00
81002 296 212 $0.00
59426 12 12 $0.00