Medicaid Provider Spending

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

BANNER HEALTH

NPI: 1003232976 · CASA GRANDE, AZ 85122 · General Acute Care Hospital · NPI assigned 03/14/2014

$55.03M
Total Medicaid Paid
1,290,012
Total Claims
1,024,594
Beneficiaries
293
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHERPF, JOHN (CEO)
NPI Enumeration Date03/14/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 234,242 $10.09M
2019 207,982 $9.89M
2020 136,767 $6.79M
2021 160,914 $6.96M
2022 193,212 $7.26M
2023 193,951 $7.41M
2024 162,944 $6.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,843 32,277 $12.85M
99284 Emergency department visit for the evaluation and management, high severity 45,686 41,325 $12.20M
74177 Computed tomography, abdomen and pelvis; with contrast material 11,460 10,685 $8.21M
99283 Emergency department visit for the evaluation and management, moderate severity 31,993 30,052 $7.57M
74176 Computed tomography, abdomen and pelvis; without contrast material 4,897 4,541 $2.60M
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,505 10,782 $1.57M
71275 Computed tomographic angiography, chest, with contrast material 2,829 2,638 $1.52M
72125 Computed tomography, cervical spine; without contrast material 3,837 3,562 $1.41M
70450 Computed tomography, head or brain; without contrast material 11,940 10,784 $1.24M
47562 196 185 $779K
70496 846 778 $617K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,105 986 $506K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,805 2,211 $364K
95811 408 368 $280K
93971 1,945 1,807 $238K
G0378 Hospital observation service, per hour 14,738 6,821 $236K
72131 614 564 $229K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 156 149 $220K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,307 1,212 $119K
80053 Comprehensive metabolic panel 74,203 61,037 $107K
70486 1,241 1,169 $106K
70551 Magnetic resonance imaging, brain; without contrast material 359 301 $94K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,329 8,246 $92K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 324 317 $89K
49083 171 86 $88K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 530 424 $85K
74174 85 80 $82K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,946 1,864 $81K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 35,811 31,322 $68K
70498 1,016 943 $68K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,678 11,165 $64K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,162 265 $61K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,850 2,947 $54K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 342 313 $51K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 286 171 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 246 229 $46K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,773 2,771 $45K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 36,559 29,935 $45K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 86 84 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 532 443 $42K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,669 1,415 $38K
70491 111 106 $38K
96361 Intravenous infusion, hydration; each additional hour 8,143 6,963 $36K
J8540 Dexamethasone, oral, 0.25 mg 2,341 1,953 $35K
97597 690 432 $32K
77067 Screening mammography, bilateral, including computer-aided detection 1,086 964 $30K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 362 119 $29K
76642 369 333 $27K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,564 4,272 $25K
77080 356 312 $25K
76700 Ultrasound, abdominal, real time with image documentation; complete 273 260 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 42 42 $22K
71046 Radiologic examination, chest; 2 views 10,733 9,999 $22K
99215 Prolong outpt/office vis 225 133 $19K
80320 6,857 6,201 $17K
96375 Therapeutic injection; each additional sequential IV push 30,718 24,943 $16K
99205 Prolong outpt/office vis 102 93 $13K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,472 3,924 $13K
71045 Radiologic examination, chest; single view 23,373 20,918 $13K
76819 Fetal biophysical profile; without non-stress testing 166 106 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 12 $11K
76770 203 194 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,579 9,759 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,416 784 $9K
73130 2,383 2,206 $9K
71250 308 271 $9K
74178 32 27 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,552 2,342 $9K
76801 2,343 2,105 $8K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 63 56 $8K
74018 2,000 1,886 $8K
36430 144 114 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 13 $8K
93970 46 41 $7K
96376 9,997 6,295 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 76,005 62,152 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor 103 99 $7K
80048 Basic metabolic panel (calcium, ionized) 10,440 7,850 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 7,724 7,407 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,608 764 $7K
97161 495 422 $6K
73610 2,222 2,039 $6K
84484 29,797 19,449 $5K
10060 123 121 $5K
93880 92 84 $5K
94762 7,209 4,511 $5K
73030 2,447 2,174 $5K
59025 Fetal non-stress test 199 150 $5K
87631 3,135 3,040 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 28 26 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 155 146 $4K
73110 1,563 1,431 $4K
76536 68 66 $4K
J3490 Unclassified drugs 33,611 18,195 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $3K
73562 2,668 2,375 $3K
73630 2,639 2,439 $3K
87086 Culture, bacterial; quantitative colony count, urine 14,652 13,335 $3K
88341 37 24 $3K
73502 899 819 $3K
81025 12,733 11,700 $2K
77065 Tomosynthesis, mammo 197 165 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 18,220 16,652 $2K
72192 16 13 $2K
97162 135 110 $2K
83880 5,101 4,506 $2K
77066 Tomosynthesis, mammo 138 118 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,753 6,454 $2K
36416 684 438 $2K
83690 23,173 20,440 $2K
72100 469 443 $2K
J2270 Injection, morphine sulfate, up to 10 mg 15,643 12,230 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,804 1,739 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,753 1,688 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 390 354 $1K
73564 42 37 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 10,331 8,990 $1K
88342 703 625 $1K
80329 1,275 1,114 $1K
82947 26,289 13,546 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,578 2,219 $1K
84443 Thyroid stimulating hormone (TSH) 4,635 4,278 $1K
73080 825 767 $1K
72128 69 62 $1K
84703 10,456 9,766 $1K
81001 30,008 26,729 $1K
A9270 Non-covered item or service 45,900 8,993 $914.08
82803 785 681 $869.10
85610 14,577 12,051 $835.76
87040 9,778 4,889 $833.51
80061 Lipid panel 456 393 $807.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,665 3,541 $793.20
J7030 Infusion, normal saline solution , 1000 cc 17,410 14,419 $763.66
86850 3,626 3,274 $760.77
83735 9,906 8,041 $731.73
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 859 790 $711.36
85379 2,693 2,546 $670.53
83605 11,221 8,816 $658.19
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,434 1,371 $649.61
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,446 1,386 $645.33
81003 14,361 13,224 $625.17
84702 5,135 4,595 $622.70
J1885 Injection, ketorolac tromethamine, per 15 mg 22,985 20,267 $612.57
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 897 882 $609.35
C1769 Guide wire 287 249 $594.20
76830 Ultrasound, transvaginal 812 773 $574.36
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,284 25,970 $557.69
0450 Emergency room services 13 12 $550.14
82140 1,001 823 $534.18
90715 2,126 2,038 $533.28
85027 7,754 6,163 $500.50
82550 3,691 3,251 $498.42
86901 5,173 4,692 $438.58
87081 1,865 1,823 $430.06
85730 3,732 3,344 $426.62
97116 744 444 $413.64
J8499 Prescription drug, oral, non chemotherapeutic, nos 33,428 17,370 $393.14
J1815 Injection, insulin, per 5 units 5,922 2,795 $388.30
12002 239 229 $378.07
87088 11,620 10,182 $365.64
73090 559 506 $347.50
73590 506 452 $335.53
96367 1,466 1,279 $332.11
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,374 6,821 $308.43
71101 72 70 $275.94
82565 180 168 $272.00
J7120 Ringers lactate infusion, up to 1000 cc 10,889 9,782 $241.82
83036 Hemoglobin; glycosylated (A1C) 649 570 $224.87
87186 4,406 3,918 $221.87
73140 78 73 $209.49
P9016 Red blood cells, leukocytes reduced, each unit 168 147 $200.28
12001 793 772 $180.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,342 2,208 $165.14
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 406 365 $162.94
87077 5,563 4,669 $162.06
88307 273 216 $151.77
J2360 Injection, orphenadrine citrate, up to 60 mg 2,649 2,492 $139.70
82270 334 303 $135.91
J2765 Injection, metoclopramide hcl, up to 10 mg 2,714 2,435 $130.52
C9113 Injection, pantoprazole sodium, per vial 2,116 1,533 $129.70
72072 13 12 $125.44
J8597 Antiemetic drug, oral, not otherwise specified 4,653 4,164 $112.46
J1756 Injection, iron sucrose, 1 mg 50 26 $112.21
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 220 212 $112.16
82010 784 676 $109.61
J1650 Injection, enoxaparin sodium, 10 mg 1,905 1,002 $106.09
J1953 Injection, levetiracetam, 10 mg 426 325 $98.34
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,687 4,162 $92.39
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 366 113 $88.69
85055 1,957 1,367 $84.62
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,103 1,849 $78.69
87807 543 525 $77.73
J3475 Injection, magnesium sulfate, per 500 mg 1,813 1,567 $72.07
84132 1,263 945 $69.07
J7050 Infusion, normal saline solution, 250 cc 399 311 $65.15
86900 4,152 3,770 $63.00
J2550 Injection, promethazine hcl, up to 50 mg 2,023 1,663 $61.46
84145 258 243 $57.57
J3480 Injection, potassium chloride, per 2 meq 1,041 746 $55.75
86140 1,642 1,568 $50.51
94760 1,308 962 $45.95
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 2,369 1,309 $45.54
94664 505 386 $45.24
94644 113 109 $44.91
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 165 152 $44.21
J1940 Injection, furosemide, up to 20 mg 833 486 $39.87
J2704 Injection, propofol, 10 mg 6,927 6,415 $39.73
J3370 Injection, vancomycin hcl, 500 mg 1,019 690 $38.00
96368 465 439 $37.63
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,145 952 $35.12
87210 738 710 $34.68
J2060 Injection, lorazepam, 2 mg 2,950 2,397 $33.46
84100 875 754 $29.62
88304 1,059 997 $29.05
72040 71 70 $24.97
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,231 1,149 $24.96
J0780 Injection, prochlorperazine, up to 10 mg 634 579 $24.49
J1790 Injection, droperidol, up to 5 mg 278 239 $23.41
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 368 328 $23.38
36600 541 510 $22.89
74022 49 43 $21.38
73060 47 41 $19.38
J0330 Injection, succinylcholine chloride, up to 20 mg 1,182 1,086 $13.50
73552 27 26 $11.72
J2250 Injection, midazolam hydrochloride, per 1 mg 6,134 5,533 $11.61
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 812 784 $11.25
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 31 25 $10.34
85652 725 663 $10.20
84439 189 178 $7.91
J1170 Injection, hydromorphone, up to 4 mg 3,018 2,515 $7.09
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 114 37 $6.19
J7999 Compounded drug, not otherwise classified 1,913 1,779 $5.27
J2795 Injection, ropivacaine hydrochloride, 1 mg 355 327 $3.99
J0690 Injection, cefazolin sodium, 500 mg 4,656 3,768 $3.04
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,325 2,145 $2.77
84520 149 141 $2.52
J1630 Injection, haloperidol, up to 5 mg 581 473 $1.25
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 870 584 $1.00
S0028 Injection, famotidine, 20 mg 937 781 $0.00
J7510 Prednisolone oral, per 5 mg 102 101 $0.00
85007 13 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 820 435 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 160 148 $0.00
87275 43 41 $0.00
93041 48 47 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 294 257 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 92 92 $0.00
J1956 Injection, levofloxacin, 250 mg 170 111 $0.00
84112 276 210 $0.00
97163 15 13 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 43 31 $0.00
12011 241 225 $0.00
89051 14 13 $0.00
29125 34 31 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 208 190 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 15 14 $0.00
86923 98 62 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 148 124 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 17 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 49 47 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 35 35 $0.00
88313 69 40 $0.00
87075 84 72 $0.00
87254 51 32 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 17 14 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 109 103 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 66 58 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 1,168 827 $0.00
C9399 Unclassified drugs or biologicals 673 630 $0.00
87205 853 681 $0.00
87070 820 656 $0.00
77063 Screening digital breast tomosynthesis, bilateral 1,068 946 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,808 1,438 $0.00
97010 769 192 $0.00
72170 59 53 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 377 282 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 802 739 $0.00
J0456 Injection, azithromycin, 500 mg 88 63 $0.00
97535 Self-care/home management training, each 15 minutes 170 110 $0.00
74420 27 26 $0.00
76870 41 38 $0.00
87147 220 199 $0.00
85018 207 141 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 35 24 $0.00
C1781 Mesh (implantable) 41 33 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 122 113 $0.00
90686 34 29 $0.00
97166 13 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 86 62 $0.00
G0008 Administration of influenza virus vaccine 18 14 $0.00
J3411 Injection, thiamine hcl, 100 mg 14 12 $0.00
87276 43 41 $0.00
J1836 Injection, metronidazole, 10 mg 22 13 $0.00