Medicaid Provider Spending

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

HH DIGESTIVE DISEASE CENTER

NPI: 1760896856 · HUNTSVILLE, AL 35801 · Nurse Practitioner · NPI assigned 06/17/2014

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

Authorized official CARTER, CLINTON controls 20+ related entities in our dataset. Read more

$58K
Total Medicaid Paid
1,857
Total Claims
1,645
Beneficiaries
17
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARTER, CLINTON (CFO)
NPI Enumeration Date06/17/2014

Related Entities

Other providers sharing the same authorized official: CARTER, CLINTON

ProviderCityStateTotal Paid
HH PHYSICIAN CARE HUNTSVILLE AL $2.70M
HH PHYSICIANS NETWORK HUNTSVILLE AL $2.39M
HH PHYSICIAN CARE-FAYETTEVILLE MEDICAL ASSOCIATES FAYETTEVILLE TN $972K
DECATUR MORGAN HOSPITALIST GROUP DECATUR AL $582K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $512K
HUNTSVILLE HOSPITAL PEDIATRIC NEUROLOGY HUNTSVILLE AL $287K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $110K
HUNTSVILLE HOSPITAL PROFESSIONAL SERVICES HUNTSVILLE AL $85K
HH HEALTH SYSTEM - DEKALB, LLC FORT PAYNE AL $81K
HUNTSVILLE HOSPITAL LUNG CENTER HUNTSVILLE AL $71K
HUNTSVILLE HOSPITAL ENDOCRINE AND DIABETES CLINIC HUNTSVILLE AL $42K
DEKALB SPECIALTY CARE FORT PAYNE AL $10K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $8K
HH PHYSICIAN CARE-ELKTON TENNESSEE ARDMORE TN $8K
DECATUR MORGAN SPECIALISTS DECATUR AL $3K
HH FEVER AND FLU CLINIC HUNTSVILLE AL $2K
HH OBSERVATION CENTER HUNTSVILLE AL $969.00
DEKALB PRIMARY CARE FORT PAYNE AL $705.11
HELEN KELLER INPATIENT PHYSICIAN SERVICES SHEFFIELD AL $537.55
HUNTSVILLE HOSPITAL MADISON INTERNAL MEDICINE MADISON AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 621 $5K
2019 299 $9K
2020 366 $7K
2021 206 $13K
2022 165 $11K
2023 170 $12K
2024 30 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 246 218 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 806 674 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 150 138 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 78 70 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $2K
43235 12 12 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 56 40 $1K
99232 Subsequent hospital care, per day, moderate complexity 40 25 $984.25
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 70 70 $0.00
4040F 71 71 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 59 59 $0.00
G8484 Influenza immunization was not administered, reason not given 58 58 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 42 42 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12 12 $0.00
1036F 27 27 $0.00
1123F 59 59 $0.00
3017F 58 58 $0.00