Medicaid Provider Spending

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

MADISON HMA PHYSICIAN MANAGEMENT LLC

NPI: 1740359249 · CANTON, MS 39046 · Obstetrics & Gynecology Physician · NPI assigned 11/07/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more

$677K
Total Medicaid Paid
119,821
Total Claims
83,238
Beneficiaries
58
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWRIGHT, JAMES (DIRECTOR)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: WRIGHT, JAMES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,823 13,852 $478K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,116 3,283 $107K
99442 1,551 1,025 $21K
80061 Lipid panel 3,025 1,944 $8K
80053 Comprehensive metabolic panel 3,262 2,114 $8K
83036 Hemoglobin; glycosylated (A1C) 4,367 3,042 $7K
36415 Collection of venous blood by venipuncture 10,421 7,112 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,498 2,310 $6K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 879 579 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,033 630 $4K
82947 5,601 3,863 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 407 151 $3K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 244 114 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 27 $2K
80305 865 613 $2K
81003 2,756 1,844 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 63 51 $2K
81025 208 167 $1K
59425 15 13 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 12 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 15 12 $973.50
90688 257 133 $578.32
99215 Prolong outpt/office vis 26 12 $560.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 53 44 $556.89
59025 Fetal non-stress test 16 12 $463.26
93000 144 82 $380.65
80048 Basic metabolic panel (calcium, ionized) 280 158 $355.84
90686 174 114 $353.71
82962 504 261 $242.09
82043 125 87 $147.84
3008F 7,990 6,315 $119.98
3077F 2,648 2,041 $119.06
J1885 Injection, ketorolac tromethamine, per 15 mg 282 180 $107.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 13 $97.44
99457 14 14 $62.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg 449 267 $56.04
J0696 Injection, ceftriaxone sodium, per 250 mg 30 17 $30.13
3079F 2,584 2,062 $13.33
3078F 3,301 2,630 $12.02
1160F 5,898 4,457 $1.31
3075F 2,161 1,786 $0.00
3074F 2,865 2,299 $0.00
3080F 1,560 1,233 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,363 829 $0.00
1036F 9,264 6,273 $0.00
1170F 1,524 882 $0.00
1101F 1,360 784 $0.00
1034F 1,334 1,055 $0.00
G0008 Administration of influenza virus vaccine 381 210 $0.00
1125F 283 232 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 415 197 $0.00
1126F 22 19 $0.00
1090F 1,517 876 $0.00
G0444 Annual depression screening, 5 to 15 minutes 209 180 $0.00
1159F 4,581 3,326 $0.00
3725F 517 372 $0.00
3288F 324 255 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,150 773 $0.00