Medicaid Provider Spending

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

MARSHALL COUNTY HMPN, LLC

NPI: 1780955898 · MADILL, OK 73446 · Family Medicine Physician · NPI assigned 01/20/2012

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

Authorized official GINGRAS, MICHAEL controls 13+ related entities in our dataset. Read more

$232K
Total Medicaid Paid
4,151
Total Claims
3,891
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date01/20/2012

Related Entities

Other providers sharing the same authorized official: GINGRAS, MICHAEL

ProviderCityStateTotal Paid
DURANT HMA PHYSICIAN MANAGEMENT, LLC DURANT OK $6.90M
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC MIDWEST CITY OK $2.41M
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC TULLAHOMA TN $2.25M
CHESTER MEDICAL GROUP, LLC CHESTER SC $960K
LEBANON HMA PHYSICIAN MANAGEMENT LLC LEBANON TN $190K
WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC WILLIAMSON WV $174K
KENNETT HMA PHYSICIAN MANAGEMENT, LLC KENNETT MO $32K
STARKE HMA MEDICAL GROUP LLC STARKE FL $6K
LIVE OAK HMA MEDICAL GROUP, LLC LIVE OAK FL $3K
FT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $2K
FT SMITH HMA PBC MANAGEMENT, LLC SPIRO OK $865.40
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC PUNTA GORDA FL $490.68
JAMESTOWN HMA PHYSICIAN MANAGEMENT LLC JAMESTOWN TN $373.05

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 335 $17K
2019 551 $29K
2020 562 $34K
2021 198 $12K
2022 220 $16K
2023 854 $65K
2024 1,431 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,147 1,058 $106K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,664 1,552 $99K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 155 155 $14K
99215 Prolong outpt/office vis 33 30 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 258 253 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 150 150 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 29 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $440.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $209.40
1126F 114 109 $0.00
3008F 175 161 $0.00
1036F 95 86 $0.00
3074F 138 128 $0.00
3078F 166 154 $0.00