Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MS › Jackson › NPI 1992774814
Physician

Medical Foundation of Central Mississippi, INC.

Medical Foundation of Central Mississippi, INC. was paid $7.52M by Medicaid between Jan 2018 and Dec 2024, across 154 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.

33Billing provider infoMEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.
JACKSON, MS 39202
33aNPI1992774814assigned 03/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$7.52M
24GClaims567,831
24DCodes billed154
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Mississippi

Rank by total paid#2 of 306
Median peer was paid$59K
This provider vs. median127×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201826,966$395K
201957,971$1.23M
202059,802$1.18M
202176,984$1.54M
2022105,395$1.36M
2023125,916$714K
2024incomplete114,797$1.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 33% 104,527 27,113 $2.51M
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 16% 49,177 40,502 $1.21M
99223 Prolong inpt eval add15 m 11% 17,902 14,697 $849K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.8% 31,849 24,961 $740K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.3% 28,958 8,938 $475K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.0% 12,805 11,320 $227K
99239 Hospital discharge day management, more than 30 minutes 2.7% 8,947 7,748 $203K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.5% 11,548 2,896 $187K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.2% 3,203 1,372 $166K
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 2.0% 5,009 4,008 $148K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 39,685 32,317 $99K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,823 1,428 $68K
142 more codes
99203 Doctor's office visit, new patient (routine) <1% 2,420 $67K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,032 $60K
99222 Initial hospital care, per day, moderate complexity <1% 1,615 $48K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,010 $44K
99442 <1% 1,140 $32K
99215 Doctor's office visit, returning patient (complex) <1% 1,303 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 849 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,129 $24K
97113 <1% 881 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,845 $22K
93970 <1% 2,251 $20K
99205 Prolong outpt/office vis <1% 713 $19K
36415 Collection of venous blood by venipuncture <1% 13,613 $16K
88307 <1% 536 $14K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,365 $13K
99441 <1% 921 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,103 $12K
93923 <1% 1,893 $9K
99496 <1% 744 $9K
93971 <1% 1,353 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,096 $8K
97161 <1% 370 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 667 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,295 $7K
99051 <1% 451 $6K
88312 <1% 471 $6K
93295 <1% 752 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 83 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,424 $5K
99443 <1% 98 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 450 $4K
80061 Lipid panel <1% 2,204 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 20 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 2,602 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 131 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 118 $3K
80053 Comprehensive metabolic panel <1% 2,097 $3K
20610 <1% 496 $3K
88342 <1% 328 $3K
99220 <1% 100 $3K
0002A <1% 78 $2K
99152 <1% 559 $2K
88341 <1% 227 $2K
93880 <1% 261 $2K
85027 <1% 1,262 $2K
0001A <1% 144 $2K
95816 <1% 95 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 309 $2K
78431 <1% 210 $2K
93297 <1% 478 $1K
88304 <1% 404 $1K
71046 Radiologic examination, chest; 2 views <1% 489 $1K
90686 <1% 471 $1K
99349 <1% 147 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 719 $1K
95251 <1% 561 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 65 $1K
93294 <1% 291 $1K
93000 <1% 317 $974.01
93016 <1% 454 $967.29
93793 <1% 219 $934.74
80305 <1% 429 $910.56
84165 <1% 507 $859.73
81003 <1% 2,569 $812.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 701 $684.30
93018 <1% 485 $678.81
97162 <1% 13 $598.91
95819 <1% 19 $526.92
88112 <1% 121 $473.22
99490 Ccm add 20min <1% 1,106 $469.47
86334 <1% 281 $458.62
99305 <1% 18 $426.53
0124A <1% 77 $415.42
81001 <1% 619 $388.61
93289 <1% 26 $384.11
93248 <1% 93 $353.92
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 14 $329.42
97016 <1% 92 $297.10
75574 <1% 13 $282.18
3074F <1% 25,673 $252.68
93308 <1% 58 $249.00
90656 <1% 66 $242.04
99495 <1% 61 $236.98
88300 <1% 219 $235.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 2,820 $234.48
3077F <1% 14,800 $224.28
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 17 $204.48
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 18 $199.83
76937 <1% 102 $171.60
99307 <1% 22 $154.68
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 640 $148.34
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 779 $145.70
93244 <1% 100 $104.85
69210 <1% 17 $103.22
81025 <1% 36 $82.27
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 309 $79.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 784 $74.16
91300 <1% 113 $70.00
0011A <1% 43 $66.41
99406 <1% 45 $64.60
90791 Psychiatric diagnostic evaluation <1% 47 $58.84
99153 Mod sedat endo service >5yrs <1% 40 $58.04
87210 <1% 50 $54.38
93325 <1% 90 $48.03
93321 <1% 27 $44.17
82947 <1% 53 $38.42
0012A <1% 30 $36.59
92557 <1% 22 $31.85
93288 <1% 13 $30.34
93356 <1% 16 $20.50
86200 <1% 17 $17.49
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 96 $11.99
1111F 0% 1,864 $0.00
1170F 0% 416 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 1,239 $0.00
3079F 0% 14,943 $0.00
3052F 0% 174 $0.00
3075F 0% 9,881 $0.00
G0008 Administration of influenza virus vaccine 0% 655 $0.00
1126F 0% 9,204 $0.00
4037F 0% 173 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 598 $0.00
3080F 0% 4,746 $0.00
1125F 0% 772 $0.00
3008F 0% 4,938 $0.00
3044F 0% 843 $0.00
99350 Prolong home eval add 15m 0% 20 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 14 $0.00
3078F 0% 34,304 $0.00
1159F 0% 36,639 $0.00
3725F 0% 249 $0.00
3046F 0% 249 $0.00
99497 0% 330 $0.00
90662 0% 346 $0.00
1160F 0% 5,252 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 798 $0.00
3051F 0% 295 $0.00
96160 0% 65 $0.00
1158F 0% 128 $0.00
76376 0% 82 $0.00
93296 0% 14 $0.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 32 $0.00

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 officialDUCKETT, GREGORY (SR VP/CLO)
Parent organizationBAPTIST MEMORIAL HEALTH CARE CORP.
Same official

Other billing entities under DUCKETT, GREGORY

Full network →
ProviderLocationPaid
Baptist Memorial Hospital - Golden Triangle INC.Columbus, MS$56.02M
Baptist Memorial HospitalMemphis, TN$51.45M
Mississippi Baptist Medical Center, INC.Jackson, MS$42.05M
Baptist Memorial Hospital-Desoto, INC,Southaven, MS$41.70M
Baptist Memorial Hospital North Mississippi, INCOxford, MS$38.92M
Baptist Memorial Medical Group INCMemphis, TN$35.67M
Baptist Memorial Hospital Union County, INC.New Albany, MS$32.79M
Anderson Regional Medical CenterMeridian, MS$32.50M
Baptist Memorial Hospital-Jonesboro INCJonesboro, AR$17.05M
Baptist Memorial Hospital-TiptonCovington, TN$13.88M
Northeast Arkansas Clinic Charitable Foundation, INC.Jonesboro, AR$12.83M
Baptist Medical Center - Yazoo, INCYazoo City, MS$11.60M
Baptist Memorial Hospital- Union City INCUnion City, TN$9.08M
Baptist Medical Center-Leake INCCarthage, MS$8.26M
Baptist Memorial Hospital-Booneville, INC.Booneville, MS$7.14M
Anderson Regional Medical CenterMeridian, MS$4.16M
Baptist Minor Medical Centers INCMemphis, TN$3.02M
Anderson Physician Alliance, INC.Meridian, MS$2.73M
Baptist Memorial Hospital-HuntingdonHuntingdon, TN$2.49M
Baptist Medical Center-Leake, INC.Carthage, MS$2.23M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.