Physician
Stephens County Hospital Physician Group LLC
Stephens County Hospital Physician Group LLC was paid $565K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoSTEPHENS COUNTY HOSPITAL PHYSICIAN GROUP LLC
TOCCOA, GA 30577
TOCCOA, GA 30577
33aNPI1659761955assigned 01/26/2015
33bProvider typeSurgery Physician
28Total paid$565K
24GClaims16,296
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Georgia
Rank by total paid#1 of 16
Median peer was paid$8K
This provider vs. median73×
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.
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 | 1,450 | $21K | |
| 2019 | 1,303 | $70K | |
| 2020 | 2,677 | $80K | |
| 2021 | 2,111 | $73K | |
| 2022 | 3,570 | $138K | |
| 2023 | 3,696 | $136K | |
| 2024incomplete | 1,489 | $48K |
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 | 38% | 5,543 | 4,780 | $213K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 1,293 | 1,221 | $92K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 7.9% | 27 | 26 | $44K |
| 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 | 7.5% | 1,574 | 1,286 | $42K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.8% | 665 | 612 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 1,588 | 1,433 | $21K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.1% | 164 | 159 | $17K |
| 97597 | 2.6% | 827 | 270 | $15K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.3% | 133 | 133 | $13K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.1% | 262 | 223 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 254 | 241 | $10K |
| 20610 | 1.7% | 332 | 279 | $10K |
27 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 175 | $8K |
| 59425 | 1.3% | 19 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 564 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.2% | 96 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 181 | $4K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 238 | $3K |
| 99460 | <1% | 49 | $2K | |
| 81025 | <1% | 334 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 74 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 47 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 354 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 378 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | $703.80 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 17 | $424.51 |
| 73562 | <1% | 33 | $393.49 | |
| 90670 | <1% | 77 | $180.00 | |
| 90723 | <1% | 80 | $74.87 | |
| 81002 | <1% | 13 | $36.19 | |
| 90648 | <1% | 73 | $24.25 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $9.55 |
| 1126F | 0% | 431 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 3074F | 0% | 18 | $0.00 | |
| 1159F | 0% | 247 | $0.00 | |
| 90681 | 0% | 51 | $0.00 | |
| 1160F | 0% | 17 | $0.00 | |
| 3078F | 0% | 24 | $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 officialHESTER, MICHAEL (CEO)
Parent organizationSTEPHENS COUNTY HOSPITAL AUTHORIT
| Provider | Location | Paid |
|---|---|---|
| Rady Children's Hospital San Diego | San Diego, CA | $69.04M |
| Abc Optometric PC | Hillsboro, OR | $100K |
| Burke Hospital Company | Barnwell, SC | $291.66 |
| Stephens County Hospital Authority | Toccoa, GA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.