FORKED DEER RIVER INPATIENT SERVICES, PLLC

NPI: 1750717195 · DYERSBURG, TN 38024 · Internal Medicine Physician · NPI assigned 09/17/2013

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official KONDAS, KATHY controls 20+ related entities in our dataset. Read more

$281K

Total Medicaid Paid

30,503

Total Claims

11,597

Beneficiaries

Codes Billed

2018-01

First Month

2021-10

Last Month

Provider Details

Authorized Official	KONDAS, KATHY (OFFICER)
NPI Enumeration Date	09/17/2013

Other providers sharing the same authorized official: KONDAS, KATHY

Provider	City	State	Total Paid
AFFILION LLC	LAS CRUCES	NM	$3.38M
WATERWAY EMERGENCY PHYSICIANS LLC	ELIZABETH CITY	NC	$2.80M
INFINITY HEALTHCARE PHYSICIANS, S.C.	MILWAUKEE	WI	$2.54M
SOMERSET EMERGENCY MEDICAL ASSOCIATES LLC	SOMERVILLE	NJ	$1.65M
ST. VINCENT ANESTHESIA MEDICAL GROUP, INC.	LOS ANGELES	CA	$1.54M
ISLANDS EMERGENCY MEDICAL SERVICE HAWAII, LLC	HONOLULU	HI	$1.01M
SOLOMON EMERGENCY PHYSICIANS PLLC	LEBANON	TN	$996K
IHC-ST. ELIZABETH EMERGENCY PHYSICIANS, LLC	APPLETON	WI	$948K
MAYFAIR EMERGENCY PHYSICIANS, A MEDICAL CORPORATION	LAKEWOOD	CA	$821K
EMERGENCY PROFESSIONAL SERVICES, PC	PAGE	AZ	$805K
PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC	KING CITY	CA	$785K
CHILDRENS ANESTHESIA ASSOCIATES INC	MIAMI	FL	$715K
PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC	ARCATA	CA	$599K
LITTLE RIVER EMERGENCY PHYSICIANS LLC	IDABEL	OK	$432K
FLORIDA UNITED RADIOLOGY LC	HIALEAH	FL	$425K
VISTA EMERGENCY PHYSICIANS LLC	GRANTS	NM	$394K
FLORIDA UNITED RADIOLOGY, LC	FORT PIERCE	FL	$321K
TWIN VALLEY EMERGENCY PHYSICIANS LLC	MESQUITE	NV	$272K
KUAKINI EMERGENCY PHYSICIANS SERVICE OAHU, LLC	HONOLULU	HI	$271K
MANTECA EMERGENCY PHYSICIANS, A MEDICAL CORPORATION	MANTECA	CA	$249K

Code	Description	Claims	Beneficiaries	Total Paid
99233	Prolong inpt eval add15 m	12,171	4,118	$105K
99232	Subsequent hospital care, per day, moderate complexity	11,162	3,317	$79K
99223	Prolong inpt eval add15 m	2,179	1,289	$42K
99238	Hospital discharge day management, 30 minutes or less	2,968	1,650	$21K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	479	168	$19K
99220		500	287	$11K
99225		194	90	$2K
99239	Hospital discharge day management, more than 30 minutes	219	96	$2K
99219		16	12	$682.55
99222	Initial hospital care, per day, moderate complexity	30	24	$680.34
99217		53	25	$308.50
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	52	51	$0.00
1123F		480	470	$0.00