Medicaid Provider Spending

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

NORTH GEORGIA PRIMARY CARE GROUP LLC

NPI: 1689616237 · RINGGOLD, GA 30736 · Family Medicine Physician · NPI assigned 06/11/2006

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

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

$9K
Total Medicaid Paid
401
Total Claims
318
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VP)
NPI Enumeration Date06/11/2006

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
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
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
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 377 $8K
2019 24 $931.31

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 313 232 $8K
99306 Prolong nursin fac eval 15m 13 12 $428.71
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62 61 $364.30
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $0.00