Medicaid Provider Spending

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

GATEWAY FOOT AND ANKLE CENTER, PLC

NPI: 1932335551 · CLARKSVILLE, TN 37040 · Foot & Ankle Surgery Podiatrist · NPI assigned 06/10/2009

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

Authorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more

$271K
Total Medicaid Paid
25,595
Total Claims
15,383
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, DAVID (COOWNER)
NPI Enumeration Date06/10/2009

Related Entities

Other providers sharing the same authorized official: SMITH, DAVID

ProviderCityStateTotal Paid
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC PHOENIX AZ $7.56M
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC PINOLE CA $2.31M
PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA $2.29M
UNITED IMAGING CONSULTANTS, LLC LENEXA KS $1.86M
SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED SAN MARCOS TX $1.45M
HAYWOOD COUNTY BROWNSVILLE TN $1.27M
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC CASA GRANDE AZ $898K
BAY HEMATOLOGY ONCOLOGY PA EASTON MD $817K
PINNACLE MEDICAL CLINIC INC SUMMIT MS $809K
NORTH SHORE PEDIATRICS, PC DANVERS MA $546K
NEW MEXICO PHYSICAL THERAPISTS INC LOS LUNAS NM $520K
GREAT LAKES PEDIATRIC SURGEONS, INC. FORT WAYNE IN $458K
EL FUTURO, INC DURHAM NC $414K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $408K
DAVID J. SMITH MD PC GRAND LEDGE MI $401K
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC FAIRFIELD CA $324K
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC TUCSON AZ $307K
ADVANCED CARDIOVASCULAR CONSULTANTS INC CHARDON OH $240K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $162K
EL FUTURO, INC DURHAM NC $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,027 $33K
2019 4,740 $58K
2020 3,990 $41K
2021 3,962 $38K
2022 3,886 $37K
2023 4,158 $47K
2024 1,832 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,176 3,107 $75K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,173 1,977 $61K
11721 3,521 2,336 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 526 404 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 584 406 $20K
73630 1,746 909 $17K
11720 2,280 1,350 $11K
G0127 Trimming of dystrophic nails, any number 5,110 3,178 $11K
11056 1,196 752 $9K
29581 521 132 $7K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 117 51 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 86 27 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 79 $1K
0598T 40 12 $872.74
A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard 198 44 $512.03
97750 114 66 $424.02
93923 18 14 $264.86
A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard 236 56 $82.97
3288F 114 66 $0.00
1100F 114 66 $0.00
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 31 12 $0.00
0518F 115 66 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 464 273 $0.00