Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › GA › CALHOUN › ADVENTIST HEALTH SYSTEM GEORGIA INC

ADVENTIST HEALTH SYSTEM GEORGIA INC

NPI: 1699791343 · CALHOUN, GA 30701 · Multi-Specialty Clinic/Center · NPI assigned 07/14/2006

$9.80M
Total Medicaid Paid
714,096
Total Claims
594,631
Beneficiaries
161
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUYTON, ALAN (CFO)
NPI Enumeration Date07/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,424 $826K
2019 48,846 $1.07M
2020 47,620 $826K
2021 154,297 $1.44M
2022 262,218 $2.35M
2023 107,755 $2.11M
2024 57,936 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,235 81,111 $4.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67,044 57,317 $3.02M
87428 10,400 9,608 $540K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28,154 25,720 $344K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,203 4,779 $310K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,134 2,453 $187K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,753 2,018 $138K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,717 5,077 $131K
90460 Immunization administration through 18 years of age via any route, first or only component 6,177 4,795 $122K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19,562 14,604 $92K
99308 Subsequent nursing facility care, per day, straightforward 3,894 3,462 $61K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 470 444 $58K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,110 1,754 $55K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,915 1,658 $50K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 634 530 $44K
20610 1,704 1,174 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,592 3,895 $38K
99232 Subsequent hospital care, per day, moderate complexity 2,566 822 $38K
81003 16,203 13,096 $34K
99051 1,982 1,688 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 619 534 $25K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 14 14 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 371 328 $23K
87807 1,750 1,570 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,066 929 $22K
99233 Prolong inpt eval add15 m 636 219 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,537 902 $15K
99307 1,364 1,306 $15K
80305 3,677 3,220 $15K
59025 Fetal non-stress test 547 440 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 193 153 $13K
99318 157 157 $12K
99223 Prolong inpt eval add15 m 322 227 $12K
52000 157 150 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 162 138 $10K
93000 1,495 946 $10K
99239 Hospital discharge day management, more than 30 minutes 382 304 $10K
83036 Hemoglobin; glycosylated (A1C) 2,040 1,861 $9K
0240U 86 79 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 429 219 $9K
81025 1,414 1,199 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 161 148 $8K
96127 2,556 2,160 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 437 364 $7K
99152 1,039 932 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,954 1,626 $6K
90461 930 813 $5K
76830 Ultrasound, transvaginal 75 69 $5K
64483 96 90 $5K
99215 Prolong outpt/office vis 95 80 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 44 41 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 74 72 $4K
99310 Prolong nursin fac eval 15m 63 63 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 81 79 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 94 89 $4K
93307 169 138 $3K
83655 492 363 $3K
97597 215 127 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $3K
85027 870 758 $3K
90686 540 434 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 31 27 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 349 250 $3K
99284 Emergency department visit for the evaluation and management, high severity 30 30 $2K
99460 29 28 $2K
90472 Immunization administration, each additional vaccine (list separately) 173 129 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 192 175 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 31 25 $2K
73100 84 71 $2K
99243 15 15 $2K
99429 102 91 $2K
51701 76 50 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 91 74 $1K
73560 112 88 $1K
92567 75 75 $1K
73562 113 78 $1K
85018 591 449 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 125 103 $1K
99222 Initial hospital care, per day, moderate complexity 51 37 $1K
76819 Fetal biophysical profile; without non-stress testing 13 13 $1K
20552 42 25 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,220 1,850 $762.78
76801 14 12 $731.25
82962 594 511 $722.13
93016 88 67 $716.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 154 115 $712.25
99283 Emergency department visit for the evaluation and management, moderate severity 13 13 $678.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 73 64 $609.33
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $586.78
81002 376 309 $542.66
93018 88 67 $514.82
99401 56 25 $514.36
0002A 12 12 $480.00
73630 41 26 $473.59
51798 52 48 $464.45
99173 651 472 $418.10
92551 200 171 $401.04
0503F 25 24 $400.14
99238 Hospital discharge day management, 30 minutes or less 20 13 $361.71
92083 45 25 $359.15
3074F 38,762 32,384 $336.63
92136 27 27 $332.21
99305 15 14 $292.18
90688 118 102 $288.21
36415 Collection of venous blood by venipuncture 5,433 4,656 $266.01
74420 27 24 $262.44
73030 15 13 $237.71
73610 13 12 $213.56
3078F 44,129 37,420 $175.00
J1030 Injection, methylprednisolone acetate, 40 mg 46 39 $151.08
92552 39 25 $136.76
92133 12 12 $136.32
3079F 13,038 11,253 $125.00
96161 102 72 $124.85
96160 29 24 $104.40
94760 26 20 $88.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16 15 $80.43
J0696 Injection, ceftriaxone sodium, per 250 mg 93 80 $79.20
95251 14 12 $70.18
86850 18 13 $69.97
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 31 28 $63.25
3075F 4,258 3,676 $50.00
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) 44 31 $44.10
3077F 4,008 3,364 $15.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 24 12 $9.10
1036F 74,833 60,994 $5.52
3008F 56,304 47,053 $5.06
0502F 2,200 1,809 $1.54
3725F 10,739 9,012 $1.52
90670 2,054 1,530 $0.15
90647 1,579 1,127 $0.07
90633 675 498 $0.02
90723 1,558 1,168 $0.02
90680 702 497 $0.02
90716 70 58 $0.02
90707 53 43 $0.01
1159F 57,525 47,053 $0.00
1160F 63,209 51,803 $0.00
90710 412 305 $0.00
3288F 131 113 $0.00
1090F 177 160 $0.00
99177 42 42 $0.00
3046F 13 12 $0.00
99442 32 16 $0.00
90700 15 13 $0.00
90681 29 27 $0.00
1101F 59 51 $0.00
1126F 3,023 2,744 $0.00
99024 1,395 1,184 $0.00
1125F 9,156 7,641 $0.00
3044F 775 446 $0.00
97802 46 46 $0.00
36416 161 104 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 142 140 $0.00
3080F 393 341 $0.00
G0008 Administration of influenza virus vaccine 201 159 $0.00
1034F 31 27 $0.00
90696 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 14 $0.00
99441 53 21 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 22 12 $0.00