Medicaid Provider Spending

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

MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.

NPI: 1811279656 · GERMANTOWN, TN 38138 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 09/19/2011

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

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

$1.31M
Total Medicaid Paid
64,155
Total Claims
36,148
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP/ CLO)
Parent OrganizationBAPTIST MEMORIAL HEALTH CARE CORP.
NPI Enumeration Date09/19/2011

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
ANDERSON PHYSICIAN ALLIANCE, INC. MERIDIAN MS $2.73M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,304 $226K
2019 11,908 $270K
2020 10,283 $257K
2021 9,333 $224K
2022 7,278 $142K
2023 7,824 $113K
2024 6,225 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 23,528 9,312 $546K
99232 Subsequent hospital care, per day, moderate complexity 19,337 9,692 $301K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,804 2,102 $232K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,384 2,913 $87K
99223 Prolong inpt eval add15 m 1,184 1,068 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,311 1,137 $21K
94375 2,776 2,378 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 326 265 $16K
94729 1,457 1,227 $10K
94060 674 578 $6K
99215 Prolong outpt/office vis 34 28 $2K
94726 312 278 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 61 41 $618.14
99222 Initial hospital care, per day, moderate complexity 14 12 $572.10
90686 67 57 $480.56
71046 Radiologic examination, chest; 2 views 45 38 $474.60
95810 Polysomnography; sleep staging with 4 or more additional parameters 15 13 $365.43
3074F 1,519 1,298 $320.00
3078F 1,241 1,040 $250.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 22 15 $90.89
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 17 13 $76.05
3079F 361 321 $60.00
1159F 2,067 1,758 $0.02
1160F 303 284 $0.00
3008F 210 206 $0.00
3075F 72 62 $0.00
1126F 14 12 $0.00