Medicaid Provider Spending

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

KEY WEST HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1871548651 · CUDJOE KEY, FL 33042 · Emergency Medicine Physician · NPI assigned 05/23/2006

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

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$406K
Total Medicaid Paid
26,218
Total Claims
14,310
Beneficiaries
32
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, JENNIFER (SENIOR DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: JACKSON, JENNIFER

ProviderCityStateTotal Paid
LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM $62.87M
ROSWELL CLINIC CORP ROSWELL NM $14.65M
PECOS VALLEY OF NEW MEXICO, LLC CARLSBAD NM $6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC CORSICANA TX $4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC FLOWOOD MS $2.83M
STATESVILLE HMA MEDICAL GROUP, LLC STATESVILLE NC $2.68M
HEARTLAND COUNSELING SERVICES, INC. SOUTH SIOUX CITY NE $2.31M
MOORESVILLE PPM LLC MOORESVILLE NC $1.35M
SCRANTON QUINCY AMBULANCE LLC SCRANTON PA $1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC SPRING HILL FL $1.14M
INTERMOUNTAIN MEDICAL GROUP, INC KINGSTON PA $1.09M
ROSWELL HOSPITAL CORPORATION ROSWELL NM $714K
WOODWARD CLINIC COMPANY, LLC WOODWARD OK $598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC BILOXI MS $585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC EL DORADO AR $495K
MOORESVILLE PPM LLC MOORESVILLE NC $385K
HEARTLAND COUNSELING SERVICES, INC. ONEILL NE $295K
NORTHWEST CARDIOLOGY LLC TUCSON AZ $265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC RONCEVERTE WV $224K
STATESBORO HMA PHYSICIAN MANAGEMENT LLC STATESBORO GA $180K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 302 $7K
2019 1,622 $79K
2020 1,058 $69K
2021 2,676 $62K
2022 7,418 $71K
2023 9,445 $82K
2024 3,697 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,101 2,001 $187K
H1000 Prenatal care, at-risk assessment 1,657 1,160 $79K
99443 1,027 697 $70K
99232 Subsequent hospital care, per day, moderate complexity 5,201 828 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 343 227 $21K
99233 Prolong inpt eval add15 m 868 324 $8K
99215 Prolong outpt/office vis 299 180 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 624 123 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 435 228 $2K
99308 Subsequent nursing facility care, per day, straightforward 282 147 $833.17
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 570 240 $616.94
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 36 25 $576.18
99223 Prolong inpt eval add15 m 318 147 $261.49
99238 Hospital discharge day management, 30 minutes or less 440 192 $200.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 44 25 $187.87
99306 Prolong nursin fac eval 15m 19 13 $134.17
99222 Initial hospital care, per day, moderate complexity 81 42 $48.07
93000 15 14 $35.92
3078F 1,304 1,016 $0.00
1159F 402 306 $0.00
1160F 551 427 $0.00
3725F 24 14 $0.00
3077F 78 66 $0.00
1036F 4,589 2,834 $0.00
3074F 1,582 1,286 $0.00
3008F 1,588 1,213 $0.00
1034F 156 105 $0.00
3079F 433 309 $0.00
3075F 72 63 $0.00
99239 Hospital discharge day management, more than 30 minutes 23 13 $0.00
G0008 Administration of influenza virus vaccine 15 12 $0.00
90688 41 33 $0.00