AMY WILSON, D.O.
NPI 1154776409, individual, Fort Smith, AR, Internal Medicine
- Medicaid dollars per patient on code 99309 ($101 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AMY WILSON, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | April 24, 2016, last updated December 19, 2023 |
| Practice location | 7301 ROGERS AVE, Fort Smith, AR 72903-4100, 479-314-5175 |
| Mailing address | 104 WALL ST, Poteau, OK 74953-4405 |
| Specialties | Internal Medicine (207R00000X, license E-12276 AR) Hospitalist (208M00000X, license E-12276 AR) Student in an Organized Health Care Education/Training Program (390200000X) Internal Medicine (207R00000X, primary, license 6276 OK) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $142K | 89% | $101 | $21 (top 5% from $84) | 97th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $17K | 10% | $65 | $67 (top 5% from $174) | 48th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $530 | 0% | $20 | $49 (top 5% from $101) | too few months to rank | |
| 99238 | Hospital discharge day management, 30 minutes or less | $385 | 0% | $26 | $48 (top 5% from $80) | too few months to rank |
In this area
30 providers in AR carry an indicator in the public record, with $33.4M at stake between them. The most common is more hours than a day holds, on 25 of them, followed by paid after a public list action on 3. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PRESTIGE MEDICAL SUPPLY INC Jonesboro, AR, ranked 7 | $450K |
|
| 1 | ADAM MAASS Springdale, AR, ranked 305 | $7K |
|
| 1 | HANNAH HARRIS Fayetteville, AR, ranked 307 | $7K |
|
| 3 | KRAMEELAH BANKS Little Rock, AR, ranked 2462 | $0 |
|
| 3 | ARKANSAS BEHAVIORAL CENTER (ABC), LLC Little Rock, AR, ranked 5190 | $0 |
|
| 4 | CARL RIDDELL Little Rock, AR, ranked 7402 | $7.3M |
|
| 4 | NAVEEN PATIL Little Rock, AR, ranked 7428 | $5.9M |
|
| 4 | LAWRENCE LABBATE Little Rock, AR, ranked 7599 | $2.7M |
|
Recent enforcement in AR
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.