Medicaid Provider Spending

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

ANDERSON PHYSICIAN ALLIANCE, INC.

NPI: 1760798227 · MERIDIAN, MS 39301 · Family Medicine Physician · NPI assigned 08/23/2010

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

Authorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more

$2.73M
Total Medicaid Paid
51,892
Total Claims
42,343
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP / CLO)
NPI Enumeration Date08/23/2010

Related Entities

Other providers sharing the same authorized official: DUCKETT, GREGORY

ProviderCityStateTotal Paid
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. COLUMBUS MS $56.02M
BAPTIST MEMORIAL HOSPITAL MEMPHIS TN $51.45M
MISSISSIPPI BAPTIST MEDICAL CENTER, INC. JACKSON MS $42.05M
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC, SOUTHAVEN MS $41.70M
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC OXFORD MS $38.92M
BAPTIST MEMORIAL MEDICAL GROUP INC MEMPHIS TN $35.67M
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. NEW ALBANY MS $32.79M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $32.50M
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC JONESBORO AR $17.05M
BAPTIST MEMORIAL HOSPITAL-TIPTON COVINGTON TN $13.88M
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR $12.83M
BAPTIST MEDICAL CENTER - YAZOO, INC YAZOO CITY MS $11.60M
BAPTIST MEMORIAL HOSPITAL- UNION CITY INC UNION CITY TN $9.08M
BAPTIST MEDICAL CENTER-LEAKE INC CARTHAGE MS $8.26M
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. JACKSON MS $7.52M
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. BOONEVILLE MS $7.14M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $4.16M
BAPTIST MINOR MEDICAL CENTERS INC MEMPHIS TN $3.02M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M
BAPTIST MEDICAL CENTER-LEAKE, INC. CARTHAGE MS $2.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,820 $440K
2019 6,768 $515K
2020 6,538 $478K
2021 6,958 $500K
2022 6,615 $427K
2023 4,614 $212K
2024 13,579 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59426 7,031 4,602 $589K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,057 9,107 $474K
59425 5,631 4,541 $416K
59515 463 407 $380K
59410 386 358 $259K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,334 4,543 $193K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,869 2,473 $117K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,637 1,425 $89K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 666 609 $44K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 871 696 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,385 1,191 $31K
76801 681 554 $26K
31231 147 118 $13K
99232 Subsequent hospital care, per day, moderate complexity 516 187 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 385 230 $11K
59025 Fetal non-stress test 413 185 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 32 31 $7K
69210 239 214 $5K
81025 794 678 $4K
99222 Initial hospital care, per day, moderate complexity 131 109 $3K
99217 63 50 $3K
99219 39 28 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 56 51 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 31 29 $2K
99238 Hospital discharge day management, 30 minutes or less 15 15 $972.30
36415 Collection of venous blood by venipuncture 258 227 $778.47
98925 47 42 $612.86
99223 Prolong inpt eval add15 m 12 12 $288.95
92567 13 13 $141.35
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 16 $113.95
81002 395 256 $103.38
99231 Subsequent hospital care, per day, straightforward or low complexity 25 15 $82.10
87210 18 14 $73.88
81003 100 68 $35.50
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) 303 288 $14.90
0502F 185 127 $0.00
3078F 1,647 1,461 $0.00
1160F 975 920 $0.00
1159F 1,912 1,734 $0.00
3077F 537 511 $0.00
99490 Ccm add 20min 35 35 $0.00
1126F 188 175 $0.00
99439 12 12 $0.00
3079F 600 571 $0.00
3074F 1,347 1,195 $0.00
3008F 1,546 1,413 $0.00
G0008 Administration of influenza virus vaccine 18 18 $0.00
3080F 175 163 $0.00
3075F 408 389 $0.00
0501F 18 16 $0.00
1125F 134 126 $0.00
3044F 56 55 $0.00
4037F 27 27 $0.00
1111F 13 13 $0.00