Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Floyd Healthcare Management INC

Floyd Healthcare Management INC was paid $1.26M by Medicaid between Jan 2018 and Aug 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoFLOYD HEALTHCARE MANAGEMENT INC
ROME, GA 30165
33aNPI1689610149assigned 06/22/2006
28Total paid$1.26M
24GClaims41,106
24DCodes billed55
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Internal Medicine Physician providers in Georgia

Rank by total paid#9 of 124
Median peer was paid$11K
This provider vs. median114×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201811,154$228K
201916,517$506K
202011,809$495K
20211,000$29K
2022227$1K
2023257$118.12
2024incomplete142$18.08
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 44% 11,046 9,108 $553K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 12,946 10,781 $503K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.2% 2,391 2,014 $40K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.0% 448 379 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.9% 2,276 1,892 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 328 273 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 730 620 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 366 283 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 256 209 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,887 1,393 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 127 102 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,458 1,065 $5K
43 more codes
90670 <1% 338 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 582 $3K
87428 <1% 61 $3K
99203 Doctor's office visit, new patient (routine) <1% 95 $3K
99204 Doctor's office visit, new patient (more involved) <1% 35 $3K
90686 <1% 263 $3K
99307 <1% 914 $2K
90647 <1% 119 $2K
90648 <1% 65 $1K
90688 <1% 136 $1K
90723 <1% 44 $831.18
90651 <1% 56 $749.07
99308 Subsequent nursing facility care, per day, straightforward <1% 266 $708.66
90680 <1% 85 $696.43
36415 Collection of venous blood by venipuncture <1% 1,782 $671.90
J1040 Injection, methylprednisolone acetate, 80 mg <1% 75 $641.16
81003 <1% 455 $602.76
90715 <1% 33 $593.70
90734 <1% 28 $534.33
90716 <1% 29 $474.96
90707 <1% 28 $455.17
96127 <1% 172 $376.05
87081 <1% 48 $324.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 181 $315.00
87807 <1% 29 $275.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 52 $246.20
90633 <1% 12 $237.48
90681 <1% 13 $237.48
92551 <1% 63 $177.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 427 $160.01
99173 <1% 70 $160.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 18 $98.82
86308 <1% 22 $88.40
J1030 Injection, methylprednisolone acetate, 40 mg <1% 27 $84.75
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 71 $81.20
90620 <1% 13 $80.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 17 $72.00
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 44 $19.26
99381 0% 16 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 0% 13 $0.00
3074F 0% 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 21 $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 officialGORMAN, MATTHEW (VP OF CORPORATE AND NETWORK SERVICE)
Same official

Other billing entities under GORMAN, MATTHEW

Full network →
ProviderLocationPaid
Floyd Healthcare Management INCRome, GA$98.41M
Floyd Physicians, LLCRome, GA$2.64M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.