Medicaid Provider Spending

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

TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC

NPI: 1679835623 · NASHVILLE, TN 37203 · Internal Medicine Physician · NPI assigned 06/14/2012

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

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$160K
Total Medicaid Paid
9,018
Total Claims
6,995
Beneficiaries
12
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VICE PRESIDENT)
NPI Enumeration Date06/14/2012

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
ST LUCIE MEDICAL SPECIALISTS LLC PORT ST LUCIE FL $1.26M
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
COLUMBIA PRIMARY CARE LLC WEST PALM BEACH FL $663K
INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC NASHVILLE TN $281K
LAWNWOOD HEALTHCARE SPECIALISTS LLC VERO BEACH FL $248K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
HERMITAGE PRIMARY CARE LLC HERMITAGE TN $25K
TRISTAR JOINT REPLACEMENT INSTITUTE, LLC NASHVILLE TN $16K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,584 $41K
2019 2,405 $39K
2020 2,051 $42K
2021 1,978 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,742 3,056 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,228 1,006 $21K
99307 1,844 1,569 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 520 364 $10K
99308 Subsequent nursing facility care, per day, straightforward 593 428 $5K
99232 Subsequent hospital care, per day, moderate complexity 458 51 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 340 280 $699.11
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 65 47 $500.34
90686 26 25 $327.10
99318 15 15 $317.43
J1885 Injection, ketorolac tromethamine, per 15 mg 171 142 $250.15
99306 Prolong nursin fac eval 15m 16 12 $90.43