Medicaid Provider Spending

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

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.

NPI: 1992774814 · JACKSON, MS 39202 · Family Medicine Physician · NPI assigned 03/14/2006

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

Authorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more

$7.52M
Total Medicaid Paid
567,831
Total Claims
374,508
Beneficiaries
154
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP/CLO)
Parent OrganizationBAPTIST MEMORIAL HEALTH CARE CORP.
NPI Enumeration Date03/14/2006

Related Entities

Other providers sharing the same authorized official: DUCKETT, GREGORY

ProviderCityStateTotal Paid
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. COLUMBUS MS $56.02M
BAPTIST MEMORIAL HOSPITAL MEMPHIS 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, INC OXFORD MS $38.92M
BAPTIST MEMORIAL MEDICAL GROUP INC MEMPHIS TN $35.67M
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. NEW ALBANY MS $32.79M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $32.50M
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC JONESBORO AR $17.05M
BAPTIST MEMORIAL HOSPITAL-TIPTON COVINGTON TN $13.88M
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR $12.83M
BAPTIST MEDICAL CENTER - YAZOO, INC YAZOO CITY MS $11.60M
BAPTIST MEMORIAL HOSPITAL- UNION CITY INC UNION CITY TN $9.08M
BAPTIST MEDICAL CENTER-LEAKE INC CARTHAGE MS $8.26M
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. BOONEVILLE MS $7.14M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $4.16M
BAPTIST MINOR MEDICAL CENTERS INC MEMPHIS TN $3.02M
ANDERSON PHYSICIAN ALLIANCE, INC. MERIDIAN MS $2.73M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M
BAPTIST MEDICAL CENTER-LEAKE, INC. CARTHAGE MS $2.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,966 $395K
2019 57,971 $1.23M
2020 59,802 $1.18M
2021 76,984 $1.54M
2022 105,395 $1.36M
2023 125,916 $714K
2024 114,797 $1.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 104,527 27,113 $2.51M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,177 40,502 $1.21M
99223 Prolong inpt eval add15 m 17,902 14,697 $849K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,849 24,961 $740K
99232 Subsequent hospital care, per day, moderate complexity 28,958 8,938 $475K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,805 11,320 $227K
99239 Hospital discharge day management, more than 30 minutes 8,947 7,748 $203K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,548 2,896 $187K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,203 1,372 $166K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,009 4,008 $148K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 39,685 32,317 $99K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,823 1,428 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,420 1,955 $67K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,032 1,368 $60K
99222 Initial hospital care, per day, moderate complexity 1,615 1,369 $48K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,010 1,471 $44K
99442 1,140 870 $32K
99215 Prolong outpt/office vis 1,303 1,033 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 849 505 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,129 737 $24K
97113 881 257 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,845 1,493 $22K
93970 2,251 1,891 $20K
99205 Prolong outpt/office vis 713 570 $19K
36415 Collection of venous blood by venipuncture 13,613 10,771 $16K
88307 536 403 $14K
99308 Subsequent nursing facility care, per day, straightforward 1,365 572 $13K
99441 921 748 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,103 424 $12K
93923 1,893 1,626 $9K
99496 744 636 $9K
93971 1,353 1,151 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,096 2,194 $8K
97161 370 310 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 667 491 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,295 373 $7K
99051 451 394 $6K
88312 471 350 $6K
93295 752 687 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 83 70 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,424 2,694 $5K
99443 98 93 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 450 232 $4K
80061 Lipid panel 2,204 1,708 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 20 18 $4K
83036 Hemoglobin; glycosylated (A1C) 2,602 2,040 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 131 109 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 118 93 $3K
80053 Comprehensive metabolic panel 2,097 1,650 $3K
20610 496 336 $3K
88342 328 242 $3K
99220 100 65 $3K
0002A 78 76 $2K
99152 559 458 $2K
88341 227 125 $2K
93880 261 243 $2K
85027 1,262 1,035 $2K
0001A 144 139 $2K
95816 95 77 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 309 215 $2K
78431 210 153 $2K
93297 478 418 $1K
88304 404 317 $1K
71046 Radiologic examination, chest; 2 views 489 323 $1K
90686 471 309 $1K
99349 147 128 $1K
80048 Basic metabolic panel (calcium, ionized) 719 587 $1K
95251 561 473 $1K
99238 Hospital discharge day management, 30 minutes or less 65 60 $1K
93294 291 260 $1K
93000 317 272 $974.01
93016 454 336 $967.29
93793 219 187 $934.74
80305 429 324 $910.56
84165 507 405 $859.73
81003 2,569 1,869 $812.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 701 558 $684.30
93018 485 359 $678.81
97162 13 12 $598.91
95819 19 13 $526.92
88112 121 90 $473.22
99490 Ccm add 20min 1,106 782 $469.47
86334 281 233 $458.62
99305 18 16 $426.53
0124A 77 45 $415.42
81001 619 496 $388.61
93289 26 26 $384.11
93248 93 59 $353.92
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $329.42
97016 92 24 $297.10
75574 13 13 $282.18
3074F 25,673 20,289 $252.68
93308 58 53 $249.00
90656 66 63 $242.04
99495 61 50 $236.98
88300 219 174 $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) 2,820 2,616 $234.48
3077F 14,800 11,584 $224.28
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 12 $204.48
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 18 13 $199.83
76937 102 75 $171.60
99307 22 16 $154.68
J0696 Injection, ceftriaxone sodium, per 250 mg 640 413 $148.34
J1885 Injection, ketorolac tromethamine, per 15 mg 779 517 $145.70
93244 100 61 $104.85
69210 17 13 $103.22
81025 36 30 $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 309 75 $79.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg 784 555 $74.16
91300 113 103 $70.00
0011A 43 43 $66.41
99406 45 25 $64.60
90791 Psychiatric diagnostic evaluation 47 37 $58.84
99153 Mod sedat endo service >5yrs 40 33 $58.04
87210 50 37 $54.38
93325 90 73 $48.03
93321 27 27 $44.17
82947 53 43 $38.42
0012A 30 30 $36.59
92557 22 16 $31.85
93288 13 13 $30.34
93356 16 12 $20.50
86200 17 13 $17.49
97150 Therapeutic procedure(s), group (2 or more individuals) 96 40 $11.99
1111F 1,864 1,505 $0.00
1170F 416 365 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,239 990 $0.00
3079F 14,943 12,015 $0.00
3052F 174 168 $0.00
3075F 9,881 7,893 $0.00
G0008 Administration of influenza virus vaccine 655 481 $0.00
1126F 9,204 7,514 $0.00
4037F 173 167 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 598 409 $0.00
3080F 4,746 3,629 $0.00
1125F 772 748 $0.00
3008F 4,938 4,417 $0.00
3044F 843 801 $0.00
99350 Prolong home eval add 15m 20 17 $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 14 12 $0.00
3078F 34,304 27,180 $0.00
1159F 36,639 29,195 $0.00
3725F 249 238 $0.00
3046F 249 242 $0.00
99497 330 277 $0.00
90662 346 257 $0.00
1160F 5,252 4,829 $0.00
G0444 Annual depression screening, 5 to 15 minutes 798 609 $0.00
3051F 295 285 $0.00
96160 65 42 $0.00
1158F 128 126 $0.00
76376 82 76 $0.00
93296 14 13 $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 32 28 $0.00