Medicaid Provider Spending

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

PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC

NPI: 1841369329 · PUNTA GORDA, FL 33950 · Gastroenterology Physician · NPI assigned 11/07/2006

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$74K
Total Medicaid Paid
10,524
Total Claims
2,894
Beneficiaries
9
Codes Billed
2018-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIR, PROVIDER ENROLLMENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 984 $944.90
2019 3,006 $8K
2020 2,430 $8K
2021 1,894 $11K
2022 920 $34K
2023 1,175 $13K
2024 115 $77.26

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 7,872 1,503 $42K
99223 Prolong inpt eval add15 m 378 217 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 186 151 $8K
99222 Initial hospital care, per day, moderate complexity 496 316 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 222 186 $4K
99239 Hospital discharge day management, more than 30 minutes 370 221 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 884 205 $842.92
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $611.85
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 103 83 $0.00