Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › MIDWEST CITY › MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC

MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC

NPI: 1952469439 · MIDWEST CITY, OK 73110 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI assigned 12/05/2006

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

Authorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more

$2.41M
Total Medicaid Paid
51,794
Total Claims
44,891
Beneficiaries
45
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent OrganizationHEALTH MANAGEMENT ASSOCIATES, INC
NPI Enumeration Date12/05/2006

Related Entities

Other providers sharing the same authorized official: GINGRAS, MICHAEL

ProviderCityStateTotal Paid
DURANT HMA PHYSICIAN MANAGEMENT, LLC DURANT OK $6.90M
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC TULLAHOMA TN $2.25M
CHESTER MEDICAL GROUP, LLC CHESTER SC $960K
LEBANON HMA PHYSICIAN MANAGEMENT LLC LEBANON TN $190K
WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC WILLIAMSON WV $174K
KENNETT HMA PHYSICIAN MANAGEMENT, LLC KENNETT MO $32K
STARKE HMA MEDICAL GROUP LLC STARKE FL $6K
LIVE OAK HMA MEDICAL GROUP, LLC LIVE OAK FL $3K
FT SMITH HMA PBC MANAGEMENT, LLC FORT SMITH AR $2K
FT SMITH HMA PBC MANAGEMENT, LLC SPIRO OK $865.40
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC PUNTA GORDA FL $490.68
JAMESTOWN HMA PHYSICIAN MANAGEMENT LLC JAMESTOWN TN $373.05

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,660 $894K
2019 16,203 $753K
2020 12,820 $653K
2021 2,111 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,366 18,156 $1.05M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,642 7,294 $524K
99232 Subsequent hospital care, per day, moderate complexity 6,482 1,691 $273K
99222 Initial hospital care, per day, moderate complexity 985 963 $80K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 822 822 $69K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,392 3,299 $48K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,234 1,230 $46K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 27 27 $45K
99238 Hospital discharge day management, 30 minutes or less 776 767 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,245 2,233 $39K
90472 Immunization administration, each additional vaccine (list separately) 832 830 $29K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,094 1,075 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 207 207 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 143 143 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 146 146 $13K
59425 30 30 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 121 121 $11K
99221 119 116 $9K
93458 81 81 $9K
99223 Prolong inpt eval add15 m 51 51 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 75 75 $8K
99215 Prolong outpt/office vis 102 101 $6K
81025 676 662 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 130 130 $4K
92928 13 12 $3K
36415 Collection of venous blood by venipuncture 1,146 1,098 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 88 34 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 152 151 $2K
99308 Subsequent nursing facility care, per day, straightforward 302 159 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 226 112 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 28 $1K
99152 144 142 $840.50
20610 25 24 $626.72
93000 53 53 $601.45
80305 38 37 $416.08
87807 31 30 $360.05
83036 Hemoglobin; glycosylated (A1C) 28 28 $253.44
90688 13 13 $214.08
90686 228 227 $204.05
96160 2,405 2,405 $173.72
93018 12 12 $111.67
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 39 33 $71.03
36416 18 18 $46.16
90670 13 13 $0.00
90734 12 12 $0.00