Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Internal Medicine Associates of Southern Hills LLC

Internal Medicine Associates of Southern Hills LLC was paid $281K by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoINTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC
NASHVILLE, TN 37211
33aNPI1992972087assigned 05/08/2008
28Total paid$281K
24GClaims11,227
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#88 of 581
Median peer was paid$15K
This provider vs. median19×

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 DUNCAN, GARY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
20182,406$48K
20191,808$42K
20202,688$67K
20213,164$87K
20221,161$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 80% 6,127 5,132 $224K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 1,313 1,129 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5.6% 1,603 955 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.5% 64 62 $4K
90686 <1% 252 157 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 232 145 $1K
81003 <1% 1,383 1,144 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 20 12 $486.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 88 71 $276.39
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 33 24 $91.92
G0008 Administration of influenza virus vaccine <1% 59 41 $10.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12 12 $8.64
2 more codes
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 14 $0.00
90662 0% 27 $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 officialDUNCAN, GARY (VICE PRESIDENT)
Parent organizationHOSPITAL CORP LLC
Same official

Other billing entities under DUNCAN, GARY

Full network →

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