Medicaid Provider Spending

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

COLUMBIA MEDICAL GROUP-SOUTHERN HILLS INC

NPI: 1700873171 · NASHVILLE, TN 37211 · Family Medicine Physician · NPI assigned 09/30/2005

$630K
Total Medicaid Paid
21,896
Total Claims
17,333
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSYKES, DANIEL (VICE PRESIDENT)
Parent OrganizationHEALTHSERV ACQUISITION
NPI Enumeration Date09/30/2005

Related Entities

Other providers sharing the same authorized official: SYKES, DANIEL

ProviderCityStateTotal Paid
WOMENS AND CHILDRENS SPECIALISTS, LLC NASHVILLE TN $2.73M
IRL PATHOLOGY SERVICES MIDAMERICA, LLC KANSAS CITY MO $296K
NATCHEZ MEDICAL ASSOCIATES, LLC DICKSON TN $238K
AMG - SOUTHERN TENNESSEE, LLC WINCHESTER TN $137K
CENTENNIAL WOMENS GROUP, LLC BRENTWOOD TN $74K
AMG - SOUTHERN TENNESSEE, LLC WINCHESTER TN $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 507 $6K
2019 1,207 $20K
2020 420 $7K
2021 2,405 $66K
2022 4,544 $129K
2023 7,286 $233K
2024 5,527 $169K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,820 11,575 $444K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,393 2,811 $82K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 831 684 $58K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 318 291 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 688 465 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 65 57 $4K
99401 182 145 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 37 $2K
99402 61 47 $2K
90686 142 111 $2K
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) 421 318 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 128 112 $1K
90661 27 26 $702.08
99223 Prolong inpt eval add15 m 12 12 $507.76
81003 450 385 $411.82
99232 Subsequent hospital care, per day, moderate complexity 18 12 $137.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 59 55 $94.61
83036 Hemoglobin; glycosylated (A1C) 13 12 $53.91
G0008 Administration of influenza virus vaccine 38 27 $28.24
81001 20 18 $23.11
3008F 164 133 $0.00