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

Adventist Health System Georgia INC

Adventist Health System Georgia INC was paid $9.80M by Medicaid between Jan 2018 and Dec 2024, across 161 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoADVENTIST HEALTH SYSTEM GEORGIA INC
CALHOUN, GA 30701
33aNPI1699791343assigned 07/14/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$9.80M
24GClaims714,096
24DCodes billed161
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Georgia

Rank by total paid#1 of 8
Median peer was paid$38K
This provider vs. median260×

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$100K$200K$300K2018201920202021202220232024
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
201835,424$826K
201948,846$1.07M
202047,620$826K
2021154,297$1.44M
2022262,218$2.35M
2023107,755$2.11M
2024incomplete57,936$1.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 93,235 81,111 $4.02M
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 31% 67,044 57,317 $3.02M
87428 5.5% 10,400 9,608 $540K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.5% 28,154 25,720 $344K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.2% 5,203 4,779 $310K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.9% 3,134 2,453 $187K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 2,753 2,018 $138K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.3% 7,717 5,077 $131K
90460 Immunization administration through 18 years of age via any route, first or only component 1.2% 6,177 4,795 $122K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 19,562 14,604 $92K
99308 Subsequent nursing facility care, per day, straightforward <1% 3,894 3,462 $61K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 470 444 $58K
149 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,110 $55K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,915 $50K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 634 $44K
20610 <1% 1,704 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,592 $38K
99232 Hospital visit by a doctor, follow-up day <1% 2,566 $38K
81003 <1% 16,203 $34K
99051 <1% 1,982 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 619 $25K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 14 $24K
99204 Doctor's office visit, new patient (more involved) <1% 371 $23K
87807 <1% 1,750 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,066 $22K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 636 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,537 $15K
99307 <1% 1,364 $15K
80305 <1% 3,677 $15K
59025 Fetal non-stress test <1% 547 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 193 $13K
99318 <1% 157 $12K
99223 Prolong inpt eval add15 m <1% 322 $12K
52000 <1% 157 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 162 $10K
93000 <1% 1,495 $10K
99239 Hospital discharge day management, more than 30 minutes <1% 382 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 2,040 $9K
0240U <1% 86 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 429 $9K
81025 <1% 1,414 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 161 $8K
96127 <1% 2,556 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 437 $7K
99152 <1% 1,039 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,954 $6K
90461 <1% 930 $5K
76830 Ultrasound, transvaginal <1% 75 $5K
64483 <1% 96 $5K
99215 Doctor's office visit, returning patient (complex) <1% 95 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 44 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 74 $4K
99310 Prolong nursin fac eval 15m <1% 63 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 81 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 94 $4K
93307 <1% 169 $3K
83655 <1% 492 $3K
97597 <1% 215 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 13 $3K
85027 <1% 870 $3K
90686 <1% 540 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 31 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 349 $3K
99284 Emergency room visit (serious) <1% 30 $2K
99460 <1% 29 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 173 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 192 $2K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 31 $2K
73100 <1% 84 $2K
99243 <1% 15 $2K
99429 <1% 102 $2K
51701 <1% 76 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 91 $1K
73560 <1% 112 $1K
92567 <1% 75 $1K
73562 <1% 113 $1K
85018 <1% 591 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 125 $1K
99222 Initial hospital care, per day, moderate complexity <1% 51 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 13 $1K
20552 <1% 42 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,220 $762.78
76801 <1% 14 $731.25
82962 <1% 594 $722.13
93016 <1% 88 $716.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 154 $712.25
99283 Emergency room visit (moderate) <1% 13 $678.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 73 $609.33
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 12 $586.78
81002 <1% 376 $542.66
93018 <1% 88 $514.82
99401 <1% 56 $514.36
0002A <1% 12 $480.00
73630 <1% 41 $473.59
51798 <1% 52 $464.45
99173 <1% 651 $418.10
92551 <1% 200 $401.04
0503F <1% 25 $400.14
99238 Hospital discharge day management, 30 minutes or less <1% 20 $361.71
92083 <1% 45 $359.15
3074F <1% 38,762 $336.63
92136 <1% 27 $332.21
99305 <1% 15 $292.18
90688 <1% 118 $288.21
36415 Collection of venous blood by venipuncture <1% 5,433 $266.01
74420 <1% 27 $262.44
73030 <1% 15 $237.71
73610 <1% 13 $213.56
3078F <1% 44,129 $175.00
J1030 Injection, methylprednisolone acetate, 40 mg <1% 46 $151.08
92552 <1% 39 $136.76
92133 <1% 12 $136.32
3079F <1% 13,038 $125.00
96161 <1% 102 $124.85
96160 <1% 29 $104.40
94760 <1% 26 $88.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16 $80.43
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 93 $79.20
95251 <1% 14 $70.18
86850 <1% 18 $69.97
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 31 $63.25
3075F <1% 4,258 $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) <1% 44 $44.10
3077F <1% 4,008 $15.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 24 $9.10
1036F <1% 74,833 $5.52
3008F <1% 56,304 $5.06
0502F <1% 2,200 $1.54
3725F <1% 10,739 $1.52
90670 <1% 2,054 $0.15
90647 <1% 1,579 $0.07
90633 <1% 675 $0.02
90723 <1% 1,558 $0.02
90680 <1% 702 $0.02
90716 <1% 70 $0.02
90707 <1% 53 $0.01
1159F 0% 57,525 $0.00
1160F 0% 63,209 $0.00
90710 0% 412 $0.00
3288F 0% 131 $0.00
1090F 0% 177 $0.00
99177 0% 42 $0.00
3046F 0% 13 $0.00
99442 0% 32 $0.00
90700 0% 15 $0.00
90681 0% 29 $0.00
1101F 0% 59 $0.00
1126F 0% 3,023 $0.00
99024 0% 1,395 $0.00
1125F 0% 9,156 $0.00
3044F 0% 775 $0.00
97802 0% 46 $0.00
36416 0% 161 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 142 $0.00
3080F 0% 393 $0.00
G0008 Administration of influenza virus vaccine 0% 201 $0.00
1034F 0% 31 $0.00
90696 0% 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 14 $0.00
99441 0% 53 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 22 $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 officialGUYTON, ALAN (CFO)