Medicaid Provider Spending

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

BLOUNT MEMORIAL PHYSICIAN GROUP, INC.

NPI: 1699710194 · ALCOA, TN 37701 · Dermatology Physician · NPI assigned 06/18/2006

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

Authorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more

$4.21M
Total Medicaid Paid
217,872
Total Claims
165,817
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIR. OF PROVIDER ENROLLMENT & CVO)
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, KRISTI

ProviderCityStateTotal Paid
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $172.15M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $77.82M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $15.98M
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $14.75M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $8.70M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4.70M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3.66M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $2.07M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $581K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP TAYLORS SC $412K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $263K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $233K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $59K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $21K
PRISMA HEALTH URGENT CARE OF SOUTH CAROLINA, PC GREENVILLE SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $17K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $10K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,655 $622K
2019 34,236 $649K
2020 33,084 $636K
2021 36,439 $834K
2022 26,642 $547K
2023 29,982 $544K
2024 24,834 $375K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 81,477 65,938 $1.88M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,425 25,979 $652K
99232 Subsequent hospital care, per day, moderate complexity 20,741 9,533 $333K
99233 Prolong inpt eval add15 m 12,334 5,940 $291K
99223 Prolong inpt eval add15 m 4,526 4,034 $203K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,943 1,653 $117K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 30,440 25,306 $96K
99239 Hospital discharge day management, more than 30 minutes 3,823 3,419 $94K
99215 Prolong outpt/office vis 2,603 2,047 $82K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,918 3,141 $79K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,709 2,392 $55K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 157 110 $44K
93000 5,906 4,857 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 803 642 $32K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 666 193 $31K
95886 1,114 935 $28K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 591 429 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 542 514 $16K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 39 32 $12K
99205 Prolong outpt/office vis 120 113 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 103 96 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 131 114 $8K
11721 1,385 1,071 $8K
98925 1,353 472 $7K
0002A 197 151 $7K
64615 135 97 $6K
17110 141 114 $4K
99222 Initial hospital care, per day, moderate complexity 124 106 $4K
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) 1,998 1,202 $4K
95251 750 579 $3K
99220 52 51 $3K
90686 414 369 $3K
0001A 77 54 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 146 112 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 33 24 $2K
99406 462 368 $2K
95811 27 25 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 242 206 $1K
95909 42 38 $1K
95911 25 15 $1K
11102 54 52 $1K
0011A 35 29 $1K
51798 222 191 $1K
99497 114 101 $1K
98926 68 25 $1K
99217 42 40 $917.91
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 59 29 $880.75
97597 52 38 $819.10
93016 122 112 $805.41
0031A 18 12 $720.00
99443 47 33 $684.44
81002 948 726 $658.26
93018 120 111 $658.02
0012A 16 14 $600.00
99496 60 37 $539.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 77 57 $536.06
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 16 13 $392.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 87 63 $375.92
95816 14 14 $375.43
96120 16 16 $343.77
20611 22 13 $305.75
99238 Hospital discharge day management, 30 minutes or less 18 15 $261.43
81001 214 189 $259.22
95885 56 29 $226.10
94618 29 25 $173.61
90662 154 139 $169.88
G0008 Administration of influenza virus vaccine 432 394 $132.23
80305 20 13 $67.00
94729 15 13 $27.88
36415 Collection of venous blood by venipuncture 14 12 $15.04
81003 13 13 $9.05
91300 277 203 $0.56
91303 18 12 $0.06
91301 51 43 $0.05
99024 349 264 $0.00
1170F 33 29 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 63 56 $0.00
3074F 14 13 $0.00
3008F 33 29 $0.00
1123F 33 29 $0.00
1111F 14 13 $0.00
1160F 28 25 $0.00
1159F 28 25 $0.00
3078F 29 25 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 12 $0.00