Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › TULLAHOMA › TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC

TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1831114099 · TULLAHOMA, TN 37388 · Family Medicine Physician · NPI assigned 07/12/2006

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

Authorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more

$2.25M
Total Medicaid Paid
75,247
Total Claims
60,829
Beneficiaries
61
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date07/12/2006

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
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 27,757 $745K
2019 26,282 $812K
2020 21,208 $689K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,883 16,940 $826K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,137 3,444 $273K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,610 3,936 $273K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,531 3,681 $186K
90460 Immunization administration through 18 years of age via any route, first or only component 4,020 3,172 $141K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,034 3,286 $102K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,274 1,064 $92K
J0561 Injection, penicillin g benzathine, 100,000 units 670 585 $59K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,997 1,673 $58K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,729 5,474 $52K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 680 611 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,689 2,096 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,402 1,148 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 349 299 $17K
99238 Hospital discharge day management, 30 minutes or less 344 299 $15K
99460 308 270 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 318 246 $7K
87807 778 689 $6K
54150 33 28 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 514 386 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 92 90 $4K
93000 499 407 $4K
81025 475 371 $2K
90472 Immunization administration, each additional vaccine (list separately) 90 66 $1K
90670 2,247 1,933 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 405 319 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18 12 $987.96
99441 129 81 $957.55
76801 19 13 $955.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,005 838 $938.11
94010 116 94 $884.63
J0696 Injection, ceftriaxone sodium, per 250 mg 80 58 $877.74
93016 99 80 $848.59
99462 34 26 $765.77
20610 43 24 $706.36
90688 40 36 $699.14
90686 200 177 $691.48
99152 41 27 $657.88
90715 14 13 $566.46
J1030 Injection, methylprednisolone acetate, 40 mg 145 100 $471.09
81002 271 211 $445.04
96127 72 52 $394.75
93018 47 36 $363.47
93307 16 12 $248.55
90680 1,347 1,173 $220.62
99231 Subsequent hospital care, per day, straightforward or low complexity 53 14 $212.74
99442 22 20 $203.78
90707 324 267 $198.40
90716 207 181 $175.00
90658 53 53 $95.45
90461 346 243 $45.28
90633 624 533 $42.42
90647 2,108 1,834 $36.88
90685 38 38 $18.90
0502F 774 442 $0.00
90700 38 37 $0.00
90710 13 12 $0.00
90723 1,513 1,321 $0.00
90657 240 213 $0.00
90696 29 25 $0.00
99000 21 20 $0.00