Medicaid Provider Spending

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

NORTHWEST ALLIED PHYSICIANS LLC

NPI: 1003833179 · TUCSON, AZ 85704 · Internal Medicine Physician · NPI assigned 07/16/2006

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

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$10.30M
Total Medicaid Paid
350,108
Total Claims
318,824
Beneficiaries
115
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M
MEDSTAT LLC WARSAW IN $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,123 $1.51M
2019 32,012 $1.95M
2020 30,029 $1.82M
2021 110,116 $1.92M
2022 103,764 $1.35M
2023 26,536 $945K
2024 20,528 $804K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95,335 89,606 $5.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,179 29,262 $1.31M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,152 11,641 $751K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6,169 5,762 $518K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,979 4,787 $459K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,821 1,713 $248K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,385 4,192 $215K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,155 1,096 $197K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,440 1,323 $179K
99244 Office or other outpatient consultation, moderate to high complexity 669 658 $91K
99232 Subsequent hospital care, per day, moderate complexity 1,811 905 $70K
99215 Prolong outpt/office vis 485 442 $39K
99222 Initial hospital care, per day, moderate complexity 427 404 $38K
90460 Immunization administration through 18 years of age via any route, first or only component 1,019 970 $37K
43775 115 107 $35K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,643 610 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 403 374 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 258 252 $20K
93000 1,793 1,693 $19K
97803 517 501 $18K
99221 328 308 $17K
99238 Hospital discharge day management, 30 minutes or less 442 420 $17K
20610 364 337 $17K
77067 Screening mammography, bilateral, including computer-aided detection 548 535 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 350 330 $16K
73630 542 503 $14K
99223 Prolong inpt eval add15 m 123 117 $13K
97802 164 162 $12K
77063 Screening digital breast tomosynthesis, bilateral 521 510 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 273 250 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 79 69 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 287 262 $5K
99239 Hospital discharge day management, more than 30 minutes 84 76 $5K
76641 104 103 $4K
62323 57 55 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 41 $3K
81003 2,123 1,544 $3K
92551 369 358 $3K
99243 40 39 $3K
81025 460 435 $3K
90688 190 124 $3K
76830 Ultrasound, transvaginal 27 25 $3K
68761 38 19 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 24 $2K
43249 34 27 $2K
90791 Psychiatric diagnostic evaluation 32 28 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 44 30 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 196 170 $2K
99442 35 31 $2K
95811 27 27 $2K
51701 56 56 $2K
99205 Prolong outpt/office vis 19 17 $2K
99152 206 199 $2K
99233 Prolong inpt eval add15 m 27 13 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29 21 $2K
20553 47 46 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 161 138 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 381 347 $2K
99385 12 12 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 27 27 $1K
81001 404 318 $1K
73610 42 38 $1K
96127 326 248 $1K
46600 12 12 $1K
99443 17 17 $1K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 12 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 12 $1K
43235 17 15 $888.58
99441 29 25 $880.92
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 31 $730.72
76642 29 25 $650.27
99242 13 12 $443.24
95816 16 13 $395.48
93018 30 30 $277.06
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $254.55
90662 15 12 $238.54
81002 408 343 $238.07
31645 13 12 $230.65
36415 Collection of venous blood by venipuncture 70 69 $166.31
90686 140 126 $159.71
31624 14 12 $158.29
77080 14 14 $92.73
96160 51 43 $83.42
51798 12 12 $76.57
99000 31 31 $53.55
1160F 29,307 26,140 $37.22
99499 1,091 905 $2.97
1159F 23,788 21,305 $0.00
3725F 833 763 $0.00
3078F 13,089 11,559 $0.00
3077F 464 447 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 582 490 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 390 328 $0.00
0502F 1,491 1,037 $0.00
90670 99 97 $0.00
90633 19 15 $0.00
4004F 16 12 $0.00
90685 32 32 $0.00
1036F 33,226 29,628 $0.00
3074F 16,733 14,796 $0.00
3008F 39,993 35,868 $0.00
3079F 4,772 4,431 $0.00
1034F 528 507 $0.00
3075F 830 800 $0.00
90680 40 39 $0.00
99024 525 448 $0.00
1126F 2,275 2,151 $0.00
1125F 1,209 1,101 $0.00
3080F 222 210 $0.00
90698 25 25 $0.00
90744 12 12 $0.00
2010F 14 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 21 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00