Medicaid Provider Spending

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

SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC

NPI: 1043575483 · SIERRA VISTA, AZ 85635 · Internal Medicine Physician · NPI assigned 07/11/2012

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$2.42M
Total Medicaid Paid
65,216
Total Claims
51,406
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date07/11/2012

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,560 $462K
2019 13,696 $476K
2020 7,961 $329K
2021 8,495 $359K
2022 6,835 $286K
2023 6,913 $287K
2024 5,756 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,439 17,504 $772K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,283 7,891 $457K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,998 2,718 $159K
99232 Subsequent hospital care, per day, moderate complexity 3,914 1,306 $147K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,704 1,236 $90K
99243 878 830 $85K
99233 Prolong inpt eval add15 m 1,178 414 $85K
90460 Immunization administration through 18 years of age via any route, first or only component 2,920 2,195 $82K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 992 826 $64K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,049 878 $64K
20610 1,738 1,365 $59K
90792 Psychiatric diagnostic evaluation with medical services 484 446 $57K
99238 Hospital discharge day management, 30 minutes or less 1,089 984 $50K
99460 685 639 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 524 486 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 439 365 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 781 676 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 177 140 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 338 276 $9K
99239 Hospital discharge day management, more than 30 minutes 107 103 $9K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 14 13 $6K
73030 360 283 $5K
51798 929 834 $5K
73564 260 212 $5K
73630 231 192 $5K
59430 29 26 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 281 234 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 54 51 $4K
99215 Prolong outpt/office vis 63 56 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 224 185 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 163 69 $4K
99222 Initial hospital care, per day, moderate complexity 70 66 $4K
99381 61 53 $4K
11721 367 250 $4K
81002 1,881 1,661 $3K
51741 448 409 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 36 $3K
81025 457 404 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 614 503 $2K
99462 92 66 $2K
90791 Psychiatric diagnostic evaluation 27 26 $2K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $2K
72100 81 79 $2K
90686 308 273 $1K
94060 84 69 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 176 120 $1K
94618 81 64 $1K
99383 12 12 $1K
52000 12 12 $737.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 337 308 $737.31
73562 24 24 $615.45
93000 57 53 $586.73
90682 13 12 $560.25
99173 385 295 $510.64
97597 65 27 $430.31
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 12 $427.95
36415 Collection of venous blood by venipuncture 60 59 $362.41
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 25 $305.59
73502 18 12 $297.70
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 133 113 $270.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 18 $251.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 23 $203.70
90461 16 16 $156.35
0011A 17 15 $136.27
90662 17 13 $131.87
99000 82 61 $105.00
G0008 Administration of influenza virus vaccine 15 13 $7.65
99024 155 127 $0.32
90648 697 528 $0.00
90670 676 519 $0.00
90707 92 70 $0.00
90633 365 257 $0.00
90687 74 71 $0.00
90710 44 29 $0.00
90700 42 28 $0.00
90715 71 43 $0.00
90734 145 96 $0.00
1160F 21 17 $0.00
99001 18 12 $0.00
90723 518 384 $0.00
90688 160 97 $0.00
90716 94 72 $0.00
90680 450 328 $0.00
90651 58 39 $0.00
90696 37 25 $0.00
3008F 22 17 $0.00