DAVID LOUIS SINCAVAGE, M.D.
NPI 1528036191, individual, Brentwood, TN, Emergency Medicine
- Listed on the KY Medicaid exclusion list since February 7, 2017.
- Medicaid still paid claims in 2 later months, $33,294 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| KY Medicaid exclusion list state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap) | Exact NPI, name verified | Feb 7, 2017 | still open | 2 | Jan 2018 | Feb 2018 | $33K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DAVID LOUIS SINCAVAGE, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | March 9, 2006, last updated March 2, 2016 |
| Practice location | 9421 RAVEN HOLLOW RD, Brentwood, TN 37027-8604, 619-850-4224 |
| Specialties | Emergency Medicine (207P00000X, primary, license E07546 CA) |
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 | |
|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | $11K | 32% | $351 | $100 (top 5% from $264) | too few months to rank | |
| 99284 | Emergency department visit with moderate level of medical decision making | $10K | 30% | $105 | $86 (top 5% from $224) | too few months to rank | |
| 99283 | Emergency department visit with low level of medical decision making | $8K | 23% | $99 | $60 (top 5% from $193) | too few months to rank | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $770 | 2% | $19 | $22 (top 5% from $33) | too few months to rank | |
| 96372 | Injection of drug or substance under skin or into muscle | $607 | 2% | $16 | $12 (top 5% from $49) | too few months to rank | |
| 80053 | Blood test, comprehensive group of blood chemicals | $598 | 2% | $13 | $8.38 (top 5% from $44) | too few months to rank | |
| 96374 | Injection of drug or substance into vein | $554 | 2% | $29 | $21 (top 5% from $138) | too few months to rank | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $493 | 1% | $9.30 | $5.69 (top 5% from $25) | too few months to rank |
In this area
4 providers in Williamson County, TN carry an indicator in the public record, with $2.8M at stake between them. The most common is part of a provider network, on 2 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | HELEN BOERMAN Franklin, TN, ranked 604 | $0 |
|
| 3 | SHALOM HOSPICE LLC Brentwood, TN, ranked 5157 | $0 |
|
| 3 | CLAIBORNE MANAGEMENT LLC Franklin, TN, ranked 6677 | $0 |
|
| 4 | GINGER JONES Franklin, TN, ranked 8591 | $2.8M |
|
Recent enforcement in TN
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.