Physician
Tullahoma Hma Physician Management, LLC
Tullahoma Hma Physician Management, LLC was paid $2.25M by Medicaid between Jan 2018 and Dec 2020, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoTULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
33aNPI1831114099assigned 07/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.25M
24GClaims75,247
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#27 of 754
Median peer was paid$34K
This provider vs. median67×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 27,757 | $745K | |
| 2019 | 26,282 | $812K | |
| 2020 | 21,208 | $689K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 21,883 | 16,940 | $826K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,137 | 3,444 | $273K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 4,610 | 3,936 | $273K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.3% | 4,531 | 3,681 | $186K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 4,020 | 3,172 | $141K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 4,034 | 3,286 | $102K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.1% | 1,274 | 1,064 | $92K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 2.6% | 670 | 585 | $59K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 1,997 | 1,673 | $58K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 6,729 | 5,474 | $52K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 680 | 611 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 2,689 | 2,096 | $25K |
49 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,402 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 349 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 344 | $15K |
| 99460 | <1% | 308 | $14K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 318 | $7K |
| 87807 | <1% | 778 | $6K | |
| 54150 | <1% | 33 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 514 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 92 | $4K |
| 93000 | <1% | 499 | $4K | |
| 81025 | <1% | 475 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 90 | $1K |
| 90670 | <1% | 2,247 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 405 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $987.96 |
| 99441 | <1% | 129 | $957.55 | |
| 76801 | <1% | 19 | $955.13 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,005 | $938.11 |
| 94010 | <1% | 116 | $884.63 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 80 | $877.74 |
| 93016 | <1% | 99 | $848.59 | |
| 99462 | <1% | 34 | $765.77 | |
| 20610 | <1% | 43 | $706.36 | |
| 90688 | <1% | 40 | $699.14 | |
| 90686 | <1% | 200 | $691.48 | |
| 99152 | <1% | 41 | $657.88 | |
| 90715 | <1% | 14 | $566.46 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 145 | $471.09 |
| 81002 | <1% | 271 | $445.04 | |
| 96127 | <1% | 72 | $394.75 | |
| 93018 | <1% | 47 | $363.47 | |
| 93307 | <1% | 16 | $248.55 | |
| 90680 | <1% | 1,347 | $220.62 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 53 | $212.74 |
| 99442 | <1% | 22 | $203.78 | |
| 90707 | <1% | 324 | $198.40 | |
| 90716 | <1% | 207 | $175.00 | |
| 90658 | <1% | 53 | $95.45 | |
| 90461 | <1% | 346 | $45.28 | |
| 90633 | <1% | 624 | $42.42 | |
| 90647 | <1% | 2,108 | $36.88 | |
| 90685 | <1% | 38 | $18.90 | |
| 0502F | 0% | 774 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90723 | 0% | 1,513 | $0.00 | |
| 90657 | 0% | 240 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 99000 | 0% | 21 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.