Medicaid Provider Spending

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

COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC

NPI: 1679560023 · NASHVILLE, TN 37203 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 09/30/2005

$1.34M
Total Medicaid Paid
62,466
Total Claims
32,802
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSYKES, DAN (DIRECTOR)
Parent OrganizationHEALTHSERV ACQUISITION, LLC
NPI Enumeration Date09/30/2005

Related Entities

Other providers sharing the same authorized official: SYKES, DAN

ProviderCityStateTotal Paid
TRISTAR GYNECOLOGY ONCOLOGY, LLC NASHVILLE TN $27K
CENTENNIAL HOSPITALISTS, LLC NASHVILLE TN $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,083 $207K
2019 10,574 $189K
2020 9,986 $229K
2021 10,669 $252K
2022 8,468 $175K
2023 7,254 $161K
2024 5,432 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 21,599 5,966 $590K
99232 Subsequent hospital care, per day, moderate complexity 10,241 3,877 $214K
99223 Prolong inpt eval add15 m 3,646 3,164 $185K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,558 4,589 $117K
99222 Initial hospital care, per day, moderate complexity 3,337 2,918 $108K
99231 Subsequent hospital care, per day, straightforward or low complexity 8,194 3,735 $84K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 798 704 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 171 129 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 602 556 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 76 25 $6K
94010 796 720 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 49 $2K
43235 65 53 $2K
94729 666 618 $2K
95251 200 165 $2K
94726 266 247 $1K
94727 190 170 $671.75
94060 138 126 $592.19
99221 28 24 $440.34
82962 375 303 $190.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 62 53 $168.91
99305 15 14 $92.82
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 13 12 $66.11
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 154 138 $0.00
1123F 14 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,107 4,348 $0.00
1124F 81 71 $0.00
3046F 17 15 $0.00