NP / PA
Hughston Medical Group, PC
Hughston Medical Group, PC was paid $33K by Medicaid between Mar 2020 and Nov 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 57% of everything it billed.
33Billing provider infoHUGHSTON MEDICAL GROUP, PC
COLUMBUS, GA 31901
COLUMBUS, GA 31901
33aNPI1962964833assigned 04/01/2019
33bProvider typeNurse Practitioner
28Total paid$33K
24GClaims943
24DCodes billed6
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Georgia
Rank by total paid#7 of 32
Median peer was paid$4K
This provider vs. median8.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 99 | $4K | |
| 2021 | 93 | $3K | |
| 2022 | 376 | $15K | |
| 2023 | 205 | $6K | |
| 2024incomplete | 170 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 57% | 217 | 191 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 149 | 119 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.3% | 90 | 53 | $3K |
| 71045 | Radiologic examination, chest; single view | 4.5% | 338 | 229 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 29 | 25 | $1K |
| 92567 | 3.2% | 120 | 80 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCMEANS, MARLA (SYS DIR OF CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Hughston Clinic, P.C. | Columbus, GA | $785K |
| Hughston Clinic Southeast PC | Columbus, GA | $598.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.