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.
CANTON, MS 39046
Next to other Obstetrics & Gynecology Physician providers in Mississippi
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,053 | $114K | |
| 2019 | 14,026 | $136K | |
| 2020 | 11,094 | $113K | |
| 2021 | 30,227 | $118K | |
| 2022 | 32,780 | $109K | |
| 2023 | 17,641 | $87K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Poplar Bluff Hma Physician Management, LLC | Poplar Bluff, MO | $9.93M |
| Crestwood Physician Services, LLC | Huntsville, AL | $1.52M |
| Fort Smith Hma PBC Management, LLC | Fort Smith, AR | $1.34M |
| Porter Health Services, LLC. | Valparaiso, IN | $1.28M |
| Wiregrass Clinic LLC | Dothan, AL | $697K |
| Shelbyville Clinic Corp | Shelbyville, TN | $512K |
| Franklin Clinic Corp | Franklin, VA | $369K |
| Town of Sharon | Sharon, MA | $348K |
| Clarksdale Hma Physician Management LLC | Clarksdale, MS | $247K |
| Lake Shore Hma Medical Group LLC | Lake City, FL | $193K |
| Campbell County Hma, LLC | La Follette, TN | $186K |
| Crossgates Hma Medical Group LLC | Brandon, MS | $183K |
| Preferred Living INC | Ville Platte, LA | $168K |
| Deaconess Physician Services LLC | Oklahoma City, OK | $161K |
| Carolinas Medical Alliance INC | Florence, SC | $93K |
| Carolina Surgery Center LLC | Fort Mill, SC | $64K |
| Haines City Hma Physician Management, LLC | Davenport, FL | $28K |
| Bluefield HBP Medical Group LLC | Bluefield, WV | $23K |
| Lake Wales Clinic Corp | Lake Wales, FL | $20K |
| Campbell County Hma, LLC | La Follette, TN | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.