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

Madison Hma Physician Management LLC

Madison Hma Physician Management LLC was paid $677K by Medicaid between Jan 2018 and Dec 2023, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoMADISON HMA PHYSICIAN MANAGEMENT LLC
CANTON, MS 39046
33aNPI1740359249assigned 11/07/2006
28Total paid$677K
24GClaims119,821
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Mississippi

Rank by total paid#24 of 93
Median peer was paid$93K
This provider vs. median7.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
201814,053$114K
201914,026$136K
202011,094$113K
202130,227$118K
202232,780$109K
202317,641$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 71% 20,823 13,852 $478K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 5,116 3,283 $107K
99442 3.1% 1,551 1,025 $21K
80061 Lipid panel 1.2% 3,025 1,944 $8K
80053 Comprehensive metabolic panel 1.1% 3,262 2,114 $8K
83036 Hemoglobin; glycosylated (A1C) 1.1% 4,367 3,042 $7K
36415 Collection of venous blood by venipuncture 1.0% 10,421 7,112 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,498 2,310 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 879 579 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,033 630 $4K
82947 <1% 5,601 3,863 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 407 151 $3K
46 more codes
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 244 $2K
99203 Doctor's office visit, new patient (routine) <1% 32 $2K
80305 <1% 865 $2K
81003 <1% 2,756 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 63 $2K
81025 <1% 208 $1K
59425 <1% 15 $1K
99204 Doctor's office visit, new patient (more involved) <1% 17 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 15 $973.50
90688 <1% 257 $578.32
99215 Doctor's office visit, returning patient (complex) <1% 26 $560.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 53 $556.89
59025 Fetal non-stress test <1% 16 $463.26
93000 <1% 144 $380.65
80048 Basic metabolic panel (calcium, ionized) <1% 280 $355.84
90686 <1% 174 $353.71
82962 <1% 504 $242.09
82043 <1% 125 $147.84
3008F <1% 7,990 $119.98
3077F <1% 2,648 $119.06
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 282 $107.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 18 $97.44
99457 <1% 14 $62.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 449 $56.04
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 30 $30.13
3079F <1% 2,584 $13.33
3078F <1% 3,301 $12.02
1160F <1% 5,898 $1.31
3075F 0% 2,161 $0.00
3074F 0% 2,865 $0.00
3080F 0% 1,560 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,363 $0.00
1036F 0% 9,264 $0.00
1170F 0% 1,524 $0.00
1101F 0% 1,360 $0.00
1034F 0% 1,334 $0.00
G0008 Administration of influenza virus vaccine 0% 381 $0.00
1125F 0% 283 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 415 $0.00
1126F 0% 22 $0.00
1090F 0% 1,517 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 209 $0.00
1159F 0% 4,581 $0.00
3725F 0% 517 $0.00
3288F 0% 324 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 1,150 $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 officialWRIGHT, JAMES (DIRECTOR)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
Same official

Other billing entities under WRIGHT, JAMES

Full network →
ProviderLocationPaid
Poplar Bluff Hma Physician Management, LLCPoplar Bluff, MO$9.93M
Crestwood Physician Services, LLCHuntsville, AL$1.52M
Fort Smith Hma PBC Management, LLCFort Smith, AR$1.34M
Porter Health Services, LLC.Valparaiso, IN$1.28M
Wiregrass Clinic LLCDothan, AL$697K
Shelbyville Clinic CorpShelbyville, TN$512K
Franklin Clinic CorpFranklin, VA$369K
Town of SharonSharon, MA$348K
Clarksdale Hma Physician Management LLCClarksdale, MS$247K
Lake Shore Hma Medical Group LLCLake City, FL$193K
Campbell County Hma, LLCLa Follette, TN$186K
Crossgates Hma Medical Group LLCBrandon, MS$183K
Preferred Living INCVille Platte, LA$168K
Deaconess Physician Services LLCOklahoma City, OK$161K
Carolinas Medical Alliance INCFlorence, SC$93K
Carolina Surgery Center LLCFort Mill, SC$64K
Haines City Hma Physician Management, LLCDavenport, FL$28K
Bluefield HBP Medical Group LLCBluefield, WV$23K
Lake Wales Clinic CorpLake Wales, FL$20K
Campbell County Hma, LLCLa Follette, TN$19K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.