Medicaid Provider Spending

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

FLORIDA SPINE & PAIN INSTITUTE

NPI: 1053769661 · CLERMONT, FL 34711 · Interventional Pain Medicine Physician · NPI assigned 05/25/2016

$525K
Total Medicaid Paid
259,263
Total Claims
77,823
Beneficiaries
32
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANCHEZ, DARA (MANAGER)
NPI Enumeration Date05/25/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,078 $92.84
2019 12,154 $43K
2020 27,116 $90K
2021 31,782 $113K
2022 26,107 $55K
2023 47,594 $133K
2024 113,432 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 83,110 23,054 $329K
99309 Subsequent nursing facility care, per day, low to moderate complexity 31,971 6,883 $82K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,551 2,088 $68K
99306 Prolong nursin fac eval 15m 1,515 910 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 207 198 $18K
99307 4,007 1,417 $7K
95912 126 68 $578.78
99305 264 192 $569.33
95886 131 72 $360.35
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $261.84
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 60,356 19,975 $218.44
99310 Prolong nursin fac eval 15m 41 27 $129.72
1126F 7,844 2,121 $0.00
1170F 5,487 1,722 $0.00
1123F 2,461 1,030 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12,985 3,412 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 6,389 1,828 $0.00
1036F 446 279 $0.00
1125F 3,872 1,100 $0.00
G9275 Documentation that patient is a current non-tobacco user 50 43 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 42 29 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 13 12 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 2,555 811 $0.00
1124F 11,410 2,972 $0.00
1100F 6,836 1,696 $0.00
3288F 5,307 2,559 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 6,837 2,063 $0.00
0518F 1,816 696 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 176 172 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 153 148 $0.00
0521F 147 100 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 144 134 $0.00