Medicaid Provider Spending

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

INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC

NPI: 1992972087 · NASHVILLE, TN 37211 · Internal Medicine Physician · NPI assigned 05/08/2008

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

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$281K
Total Medicaid Paid
11,227
Total Claims
8,909
Beneficiaries
14
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VICE PRESIDENT)
Parent OrganizationHOSPITAL CORP LLC
NPI Enumeration Date05/08/2008

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
ST LUCIE MEDICAL SPECIALISTS LLC PORT ST LUCIE FL $1.26M
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
COLUMBIA PRIMARY CARE LLC WEST PALM BEACH FL $663K
LAWNWOOD HEALTHCARE SPECIALISTS LLC VERO BEACH FL $248K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
HERMITAGE PRIMARY CARE LLC HERMITAGE TN $25K
TRISTAR JOINT REPLACEMENT INSTITUTE, LLC NASHVILLE TN $16K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,406 $48K
2019 1,808 $42K
2020 2,688 $67K
2021 3,164 $87K
2022 1,161 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,127 5,132 $224K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,313 1,129 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,603 955 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 64 62 $4K
90686 252 157 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 232 145 $1K
81003 1,383 1,144 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 20 12 $486.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 88 71 $276.39
J1885 Injection, ketorolac tromethamine, per 15 mg 33 24 $91.92
G0008 Administration of influenza virus vaccine 59 41 $10.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $8.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 12 $0.00
90662 27 13 $0.00