Medicaid Provider Spending

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

ANOVA MEDICAL ASSOCIATES, PLC

NPI: 1659849537 · GALLATIN, TN 37066 · Hospitalist Physician · NPI assigned 11/08/2018

$862K
Total Medicaid Paid
43,396
Total Claims
25,158
Beneficiaries
26
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKING, MATTHEW (PRESIDENT)
NPI Enumeration Date11/08/2018

Related Entities

Other providers sharing the same authorized official: KING, MATTHEW

ProviderCityStateTotal Paid
GALENCARE, INC. BRANDON FL $34.68M
SODUS TOWN AMBULANCE CORPS NORTH ROSE NY $233K
TOWN LINE EYE CARE, LLC ROCKY HILL CT $80K
FANNIN COUNTY HOSPITAL AUTHORITY BEDFORD TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 730 $10K
2020 2,914 $41K
2021 6,248 $105K
2022 9,236 $171K
2023 14,757 $316K
2024 9,511 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 13,132 6,157 $250K
99232 Subsequent hospital care, per day, moderate complexity 14,224 6,075 $200K
99223 Prolong inpt eval add15 m 2,983 2,329 $125K
99283 Emergency department visit for the evaluation and management, moderate severity 2,606 2,370 $88K
99239 Hospital discharge day management, more than 30 minutes 4,423 3,511 $87K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 954 366 $50K
99238 Hospital discharge day management, 30 minutes or less 1,107 843 $17K
99220 282 257 $14K
99284 Emergency department visit for the evaluation and management, high severity 264 237 $13K
99217 406 339 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 308 287 $7K
99307 349 335 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 39 15 $443.60
99304 37 36 $405.65
99225 15 12 $355.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $144.61
94726 44 29 $123.24
94729 44 29 $80.97
94375 25 15 $9.72
1123F 633 566 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 244 217 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 833 726 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 171 159 $0.00
G8785 Blood pressure reading not documented, reason not given 187 170 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 57 52 $0.00
1124F 17 14 $0.00