Medicaid Provider Spending

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

HILTON HEAD REGIONAL PHYSICIAN NETWORK, LLC

NPI: 1861915670 · BEAUFORT, SC 29907 · Family Medicine Physician · NPI assigned 07/24/2017

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

Authorized official RASMUS, BRIAN controls 20+ related entities in our dataset. Read more

$1.36M
Total Medicaid Paid
37,244
Total Claims
33,103
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialRASMUS, BRIAN (VP, CFO TPR TENET)
NPI Enumeration Date07/24/2017

Related Entities

Other providers sharing the same authorized official: RASMUS, BRIAN

ProviderCityStateTotal Paid
VHS PHYSICIANS OF MICHIGAN SOUTHFIELD MI $73.90M
BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX $32.11M
VHS OUTPATIENT CLINICS, INC. GOODYEAR AZ $15.18M
TUCSON PHYSICIAN GROUP HOLDINGS, LLC TUCSON AZ $11.51M
PIEDMONT PHYSICIAN NETWORK LLC YORK SC $7.38M
FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA $7.25M
TENET FLORIDA PHYSICIAN SERVICES LLC WEST PALM BEACH FL $6.30M
SAINT VINCENT PHYSICIAN SERVICES, INC. WORCESTER MA $6.08M
SAINT FRANCIS PHYSICIAN NETWORK, LLC COVINGTON TN $3.33M
VHM SERVICES, INC. FRAMINGHAM MA $1.96M
FIRST CHOICE PHYSICIAN PARTNERS BREA CA $945K
MEMPHIS URGENT CARE #2, LLC. MEMPHIS TN $541K
EAST COOPER PHYSICIAN NETWORK, LLC MOUNT PLEASANT SC $429K
SAINT FRANCIS-ARKANSAS PHYSICIAN NETWORK, LLC WEST MEMPHIS AR $269K
CARESPOT OF MEMPHIS, LLC BARTLETT TN $215K
SUNRISE MEDICAL GROUP I, LLC HOLLYWOOD FL $162K
MEMPHIS URGENT CARE #2 LLC CORDOVA TN $138K
MEMPHIS URGENT CARE #1, LLC GERMANTOWN TN $93K
MEMPHIS URGENT CARE #2 LLC COLLIERVILLE TN $33K
DIGESTIVE CARE ASSOCIATES PC EDWARDSVILLE PA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,641 $218K
2019 6,909 $208K
2020 5,904 $223K
2021 4,666 $248K
2022 5,159 $225K
2023 9,147 $224K
2024 818 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,473 19,793 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,350 1,238 $99K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 37 26 $41K
81002 5,547 4,808 $15K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 185 176 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 166 149 $14K
59025 Fetal non-stress test 196 171 $5K
11721 450 381 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 117 107 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $2K
76830 Ultrasound, transvaginal 19 13 $1K
76819 Fetal biophysical profile; without non-stress testing 15 13 $888.83
81003 358 322 $811.05
93000 100 94 $650.40
81025 33 32 $181.17
51798 17 15 $67.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $50.82
1159F 1,343 1,248 $0.00
1160F 1,343 1,248 $0.00
3078F 528 510 $0.00
3725F 192 185 $0.00
3008F 754 701 $0.00
3074F 913 872 $0.00
1036F 1,069 963 $0.00