Medicaid Provider Spending

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

HEALOGICS SPECIALTY PHYSICIANS OF TENNESSEE, PLLC

NPI: 1932527090 · CLARKSVILLE, TN 37040 · Emergency Medicine Physician · NPI assigned 04/04/2014

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

Authorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more

$517K
Total Medicaid Paid
40,953
Total Claims
19,562
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, FRANK (CEO)
NPI Enumeration Date04/04/2014

Related Entities

Other providers sharing the same authorized official: WILLIAMS, FRANK

ProviderCityStateTotal Paid
WINDSOR PUBLIC SCHOOL WINDSOR CT $1.36M
FOCUS POINTE COUNSELING SOLUTIONS, INC. OKLAHOMA CITY OK $1.33M
BUTLER COUNTY CLERK EL DORADO KS $863K
HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA, PLLC LAWTON OK $812K
HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC TROY OH $779K
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC JOPLIN MO $775K
HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC SALEM OR $653K
NAUTILUS HEALTH CARE GROUP LLC MELBOURNE FL $649K
HEALOGICS SPECIALTY PHYSICIANS OF MISSISSIPPI, LLC NATCHEZ MS $433K
HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA, LLC FREDERICKSBURG VA $397K
HEALOGICS SPECIALTY PHYSICIANS OF MASSACHUSETTS, PLLC HOLYOKE MA $356K
HEALOGICS SPECIALTY PHYSICIANS OF MARYLAND, LLC LEONARDTOWN MD $347K
HEALOGICS SPECIALTY PHYSICIANS OF ARKANSAS, PLLC FAYETTEVILLE AR $332K
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC MYRTLE BEACH SC $279K
HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC ALLEN TX $266K
HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC LAKE CHARLES LA $224K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC PARKER CO $208K
PONS PHYSICIAN SERVICES, PLLC CORTLAND NY $173K
HEALOGICS SPECIALTY PHYSICIANS OF WEST VIRGINIA, PLLC LOGAN WV $145K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC LAKEWOOD CO $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,749 $61K
2019 4,591 $56K
2020 4,387 $62K
2021 8,413 $97K
2022 6,230 $72K
2023 6,566 $87K
2024 5,017 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 23,835 10,341 $337K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,649 2,677 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,933 2,320 $40K
97597 5,082 2,433 $32K
99232 Subsequent hospital care, per day, moderate complexity 1,385 453 $22K
99222 Initial hospital care, per day, moderate complexity 304 258 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 876 371 $6K
99221 257 231 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 465 356 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 29 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 78 54 $1K
17250 35 27 $506.01
97598 23 12 $159.18