Medicaid Provider Spending

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

SONORAN SPINE CENTER P.C.

NPI: 1013975333 · TEMPE, AZ 85281 · Orthopaedic Surgery of the Spine Physician · NPI assigned 05/03/2006

$29K
Total Medicaid Paid
452
Total Claims
426
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialDYLO, SUSAN (ADMINISTRATOR)
NPI Enumeration Date05/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 325 $20K
2019 43 $2K
2020 41 $3K
2021 43 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 305 285 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 84 81 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63 60 $3K