Medicaid Provider Spending

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

HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC

NPI: 1821176934 · HOT SPRINGS, AR 71913 · Family Medicine Physician · NPI assigned 11/02/2006

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

Authorized official SOUTHERLAND, BRENDA controls 11+ related entities in our dataset. Read more

$2.12M
Total Medicaid Paid
75,678
Total Claims
64,210
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSOUTHERLAND, BRENDA (OFFICE MANAGER)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: SOUTHERLAND, BRENDA

ProviderCityStateTotal Paid
HEALTHSTAR PHYSICIANS OF HOT SPRINGS GLENWOOD AR $1.62M
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $1.08M
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $421K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $311K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $237K
FIRST CARE FAMILY MEDICINE-MENA PLLC MENA AR $139K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $136K
HEALTHSTAR PHYSICIANS PRACTICE MANAGEMENT PLLC HOT SPRINGS AR $32K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $18K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC HOT SPRINGS AR $12K
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC PEARCY AR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,900 $321K
2019 8,226 $338K
2020 5,338 $214K
2021 8,086 $277K
2022 13,767 $397K
2023 19,535 $382K
2024 11,826 $189K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,106 17,113 $1.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,423 9,118 $306K
99233 Prolong inpt eval add15 m 3,594 1,596 $165K
99232 Subsequent hospital care, per day, moderate complexity 2,642 1,619 $109K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,042 908 $108K
99215 Prolong outpt/office vis 646 608 $64K
99223 Prolong inpt eval add15 m 706 654 $56K
99222 Initial hospital care, per day, moderate complexity 901 800 $45K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,011 884 $45K
99238 Hospital discharge day management, 30 minutes or less 1,338 1,184 $39K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,808 3,174 $18K
87631 154 152 $18K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 214 69 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 259 236 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,138 1,057 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 229 212 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 205 193 $11K
99349 217 176 $7K
71046 Radiologic examination, chest; 2 views 186 149 $6K
90837 Psychotherapy, 53 minutes with patient 33 26 $5K
87634 41 39 $3K
90688 281 251 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 47 42 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 61 52 $2K
90686 189 171 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 114 99 $2K
71020 37 29 $1K
99350 Prolong home eval add 15m 16 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 82 74 $828.05
80050 General health panel 16 14 $622.71
99173 118 102 $597.07
90672 57 48 $564.90
90656 39 37 $544.95
80061 Lipid panel 116 102 $530.56
80053 Comprehensive metabolic panel 90 82 $414.37
3008F 5,726 5,211 $398.40
90621 33 32 $296.36
90685 30 25 $239.00
G0008 Administration of influenza virus vaccine 30 26 $216.30
99239 Hospital discharge day management, more than 30 minutes 26 24 $203.78
87807 14 12 $169.13
81003 97 78 $160.00
83036 Hemoglobin; glycosylated (A1C) 32 25 $156.06
1160F 4,020 3,603 $148.09
1125F 1,055 947 $118.51
90734 13 12 $114.72
0012A 21 15 $108.39
1036F 3,517 3,182 $73.61
99497 23 13 $7.02
36415 Collection of venous blood by venipuncture 75 68 $3.00
1126F 801 735 $0.37
1159F 3,928 3,518 $0.08
3074F 2,448 2,271 $0.04
3078F 2,493 2,323 $0.04
3079F 373 334 $0.01
1101F 125 106 $0.00
3075F 180 166 $0.00
1035F 12 12 $0.00
1034F 287 260 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 24 13 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 26 14 $0.00
3080F 19 17 $0.00
3725F 32 27 $0.00
1026F 13 12 $0.00
3077F 34 32 $0.00
G0444 Annual depression screening, 5 to 15 minutes 15 15 $0.00