Medicaid Provider Spending

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

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

NPI: 1932159498 · MCCOMB, MS 39648 · Pulmonary Disease Physician · NPI assigned 05/12/2006

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

Authorized official ROWLEY, CHARLA controls 20+ related entities in our dataset. Read more

$219K
Total Medicaid Paid
14,536
Total Claims
13,599
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROWLEY, CHARLA (CEO)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: ROWLEY, CHARLA

ProviderCityStateTotal Paid
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $46.62M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MONTICELLO MS $2.57M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $1.78M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $1.24M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $1.19M
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $611K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $580K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $468K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $240K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $231K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MONTICELLO MS $218K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $183K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MONTICELLO MS $109K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $72K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $36K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER SUMMIT MS $25K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $24K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $24K
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS $11K
SOUTHWEST MS REGIONAL MEDICAL CENTER MONTICELLO MS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,729 $48K
2019 3,668 $41K
2020 1,409 $30K
2021 1,566 $38K
2022 1,046 $29K
2023 574 $17K
2024 544 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,845 4,505 $129K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,168 1,051 $45K
94375 1,541 1,444 $18K
94729 308 295 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 102 102 $5K
94727 308 295 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 65 24 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 27 $2K
99490 Ccm add 20min 279 275 $1K
95811 13 13 $747.39
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 29 $716.54
94060 70 68 $494.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 28 $229.66
99487 Ccm add 20min 12 12 $81.55
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 32 27 $80.61
J0696 Injection, ceftriaxone sodium, per 250 mg 14 12 $11.32
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 569 546 $0.00
4040F 1,178 1,114 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,173 1,110 $0.00
G8482 Influenza immunization administered or previously received 572 539 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 329 317 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 703 669 $0.00
1123F 1,158 1,097 $0.00