Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › KINGSPORT › HOLSTON MEDICAL GROUP PC

HOLSTON MEDICAL GROUP PC

NPI: 1831110667 · KINGSPORT, TN 37660 · Pediatrics Physician · NPI assigned 07/21/2006

$36.90M
Total Medicaid Paid
1,169,685
Total Claims
979,360
Beneficiaries
236
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARMSTRONG, SHAWNA (CFO)
NPI Enumeration Date07/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 122,855 $3.28M
2019 158,082 $4.52M
2020 115,442 $4.07M
2021 147,013 $5.36M
2022 174,100 $6.71M
2023 225,104 $6.73M
2024 227,089 $6.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 247,670 211,025 $11.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 261,446 226,192 $10.72M
90460 Immunization administration through 18 years of age via any route, first or only component 49,810 38,464 $1.75M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 27,451 21,561 $1.63M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 23,508 20,550 $1.63M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 10,469 9,813 $829K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,954 9,784 $748K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,638 7,099 $708K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,439 10,111 $543K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,729 11,077 $513K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12,184 11,585 $435K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,119 4,349 $379K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,817 4,378 $376K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,480 2,108 $364K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,839 45,370 $325K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,841 1,536 $244K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,557 7,691 $230K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6,636 5,895 $218K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,641 1,465 $201K
77067 Screening mammography, bilateral, including computer-aided detection 3,607 3,256 $185K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,586 4,370 $146K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,619 6,189 $128K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,727 8,724 $113K
97161 2,111 1,841 $107K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,729 1,982 $102K
99309 Subsequent nursing facility care, per day, low to moderate complexity 11,928 7,696 $102K
99244 Office or other outpatient consultation, moderate to high complexity 848 808 $100K
95810 Polysomnography; sleep staging with 4 or more additional parameters 334 281 $98K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,765 7,873 $93K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 946 796 $86K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,892 1,678 $82K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 495 414 $78K
20610 2,729 2,049 $77K
96161 5,550 4,475 $73K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,082 2,940 $71K
99238 Hospital discharge day management, 30 minutes or less 1,573 1,331 $71K
99336 2,668 1,956 $64K
96160 4,530 3,789 $63K
95886 743 635 $61K
76819 Fetal biophysical profile; without non-stress testing 1,092 790 $59K
90686 12,535 10,695 $59K
99460 1,157 990 $55K
76536 1,198 1,057 $52K
36415 Collection of venous blood by venipuncture 27,635 24,900 $50K
96127 10,187 8,497 $45K
99177 6,092 5,171 $43K
95811 146 123 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,003 4,144 $40K
92551 5,257 4,512 $39K
76830 Ultrasound, transvaginal 428 389 $38K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,314 4,383 $31K
90670 10,492 8,904 $31K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 180 103 $30K
95911 261 214 $29K
99232 Subsequent hospital care, per day, moderate complexity 1,892 686 $28K
92567 2,739 2,314 $26K
99199 Unlisted special service, procedure or report 7,473 6,759 $25K
99223 Prolong inpt eval add15 m 521 461 $24K
72141 183 160 $24K
81001 9,634 8,563 $22K
71046 Radiologic examination, chest; 2 views 1,249 1,056 $22K
95117 2,653 1,010 $22K
64721 88 80 $21K
99442 673 517 $19K
43235 265 226 $19K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 120 112 $18K
11721 3,094 2,440 $17K
77063 Screening digital breast tomosynthesis, bilateral 691 591 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 191 169 $17K
90723 9,099 7,549 $16K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 292 251 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete 247 223 $16K
73130 720 588 $15K
54150 94 84 $15K
99174 1,459 1,278 $14K
90680 7,251 5,965 $14K
99173 2,610 2,263 $14K
74176 Computed tomography, abdomen and pelvis; without contrast material 171 141 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 229 209 $13K
90677 2,468 1,924 $13K
90647 8,655 7,322 $13K
95251 1,041 907 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 255 235 $12K
99215 Prolong outpt/office vis 312 255 $12K
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) 1,687 1,401 $11K
A9575 Injection, gadoterate meglumine, 0.1 ml 993 711 $11K
73630 649 518 $11K
97162 261 248 $11K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 846 716 $11K
99349 283 250 $11K
99335 637 458 $10K
99233 Prolong inpt eval add15 m 520 183 $10K
87807 880 833 $10K
90651 992 833 $10K
73221 61 52 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,373 2,036 $9K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 52 50 $9K
71250 145 121 $8K
77080 696 568 $8K
73110 327 275 $8K
94010 400 359 $8K
90633 3,461 3,037 $7K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 709 462 $7K
99239 Hospital discharge day management, more than 30 minutes 308 268 $7K
99462 270 199 $7K
99490 Ccm add 20min 3,482 3,050 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 48 41 $6K
73565 494 417 $6K
76642 145 120 $6K
76801 77 65 $6K
73560 486 401 $6K
81003 4,007 3,629 $6K
86738 767 670 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 29 25 $5K
43249 40 26 $5K
81025 977 855 $5K
99459 378 356 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 414 298 $4K
43450 170 144 $4K
95909 53 46 $4K
94726 199 174 $4K
90734 776 624 $4K
0012A 141 136 $4K
92553 248 204 $4K
90656 734 586 $4K
70450 Computed tomography, head or brain; without contrast material 43 38 $3K
94729 160 140 $3K
91200 181 169 $3K
90461 3,609 2,729 $3K
99243 37 36 $3K
95800 29 25 $3K
76770 52 50 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 94 77 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 531 477 $3K
90671 1,593 1,296 $3K
99441 199 127 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 527 418 $3K
99439 866 765 $2K
0011A 167 157 $2K
90715 215 182 $2K
73030 109 92 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 17 12 $2K
90716 659 554 $2K
99443 90 54 $2K
93244 201 161 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,182 1,785 $2K
74018 77 72 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 15 14 $1K
36416 794 681 $1K
11750 16 13 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 130 101 $1K
99050 87 66 $1K
97597 72 13 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
99306 Prolong nursin fac eval 15m 137 105 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $1K
93242 201 161 $1K
90707 654 532 $1K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 38 31 $986.49
90662 337 240 $970.36
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 54 41 $926.89
3078F 19,712 17,088 $903.92
77066 Tomosynthesis, mammo 18 13 $895.90
72110 33 26 $872.47
92557 29 28 $872.26
73140 36 27 $824.69
90710 163 142 $823.37
3074F 23,029 20,082 $803.92
G0008 Administration of influenza virus vaccine 1,402 1,092 $774.70
93224 13 12 $749.22
96380 42 29 $720.65
90688 531 445 $693.73
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 12 $673.71
93922 13 13 $657.06
J1885 Injection, ketorolac tromethamine, per 15 mg 483 411 $653.51
0071A 18 18 $641.00
99406 330 279 $629.63
90696 218 193 $585.39
0072A 14 14 $560.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 18 13 $557.67
90674 1,386 1,219 $502.31
3008F 25,626 21,577 $502.01
90685 537 496 $482.63
69210 19 13 $459.48
99308 Subsequent nursing facility care, per day, straightforward 89 76 $304.53
3079F 6,439 5,773 $300.00
87400 70 61 $297.99
94664 54 33 $296.29
93000 24 24 $288.05
99305 44 31 $273.94
73562 16 13 $270.05
0500F 22 15 $260.00
85027 78 73 $257.02
94060 16 12 $255.29
J0696 Injection, ceftriaxone sodium, per 250 mg 205 150 $234.25
0502F 13,424 10,486 $225.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 645 534 $222.90
11720 44 28 $211.47
11719 77 68 $176.11
3075F 2,307 2,115 $173.58
51798 60 51 $156.27
3077F 1,180 1,064 $125.00
99310 Prolong nursin fac eval 15m 14 12 $102.90
0503F 46 39 $95.04
90672 37 33 $77.20
86580 41 20 $52.65
90472 Immunization administration, each additional vaccine (list separately) 28 12 $52.43
99070 13 13 $45.00
3046F 46 40 $35.00
3080F 383 353 $25.00
90700 40 37 $22.68
3044F 41 39 $20.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 162 40 $16.45
0501F 27 27 $10.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 117 87 $7.00
91307 44 44 $0.03
G8754 Most recent diastolic blood pressure < 90 mmhg 8,044 6,616 $0.02
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 90 76 $0.00
99024 1,596 1,397 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 253 158 $0.00
91301 280 270 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 82 51 $0.00
3014F 47 40 $0.00
G1007 Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program 85 83 $0.00
94760 32 14 $0.00
3351F 53 39 $0.00
1036F 274 213 $0.00
3052F 13 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 51 49 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 31 29 $0.00
G9662 Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure 35 24 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 7,223 6,031 $0.00
3288F 434 295 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 44 38 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 36 35 $0.00