Medicaid Provider Spending

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

PRO HEALTH ONE INC

NPI: 1053714584 · DENVER, CO 80237 · Internal Medicine Physician · NPI assigned 09/29/2014

$1.61M
Total Medicaid Paid
94,354
Total Claims
48,310
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAI, PRADEEP (OWNER)
NPI Enumeration Date09/29/2014

Related Entities

Other providers sharing the same authorized official: RAI, PRADEEP

ProviderCityStateTotal Paid
MAGNOLIA MEDICAL COMPANY DENVER CO $5.32M
MAGNOLIA MEDICAL COMPANY DENVER CO $1.81M
FORTE HEALTH AND WELLNESS INC DENVER CO $450K
FORTE HEALTH AND WELLNESS INC WHEAT RIDGE CO $35K
MAGNOLIA MEDICAL GROUP DENVER CO $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,764 $67K
2019 7,626 $152K
2020 8,577 $194K
2021 12,375 $213K
2022 18,056 $270K
2023 20,981 $305K
2024 20,975 $409K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 57,322 26,098 $1000K
99308 Subsequent nursing facility care, per day, straightforward 11,512 7,755 $159K
11043 6,185 3,084 $145K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,256 5,071 $114K
99304 2,799 2,496 $61K
99232 Subsequent hospital care, per day, moderate complexity 1,121 456 $42K
99307 2,972 1,552 $30K
99231 Subsequent hospital care, per day, straightforward or low complexity 763 340 $19K
99233 Prolong inpt eval add15 m 261 114 $12K
11044 431 193 $7K
99305 222 197 $6K
11046 297 152 $5K
99254 103 63 $4K
99223 Prolong inpt eval add15 m 40 36 $2K
11045 249 145 $2K
17250 351 176 $1K
99234 22 16 $875.40
99406 115 78 $463.46
11721 76 60 $368.86
11719 64 53 $170.33
81025 15 13 $0.00
80305 48 43 $0.00
82075 48 43 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34 33 $0.00
99000 48 43 $0.00