Medicaid Provider Spending

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

MODERN VASCULAR OF SUN CITY, LLC

NPI: 1083179378 · SURPRISE, AZ 85374 · Vascular-Interventional Technology Radiologic Technologist · NPI assigned 01/31/2019

$5K
Total Medicaid Paid
126
Total Claims
116
Beneficiaries
3
Codes Billed
2021-02
First Month
2022-03
Last Month

Provider Details

Authorized OfficialGAMPEL, YURY (MANAGER)
NPI Enumeration Date01/31/2019

Related Entities

Other providers sharing the same authorized official: GAMPEL, YURY

ProviderCityStateTotal Paid
MODERN VASCULAR OF GLENDALE, LLC GLENDALE AZ $780K
MODERN VASCULAR - NAVAJO LLC ALBUQUERQUE NM $248K
MODERN VASCULAR OF SOUTHAVEN, LLC SOUTHAVEN MS $85K
MODERN VASCULAR OF DENVER, LLC THORNTON CO $44K
PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC MESA AZ $17K
MODERN VASCULAR OF ST LOUIS LLC CREVE COEUR MO $17K
SAN ANTONIO VASCULAR SPECIALISTS CORP SAN ANTONIO TX $8K
MODERN VASCULAR OF TUCSON, LLC TUCSON AZ $4K
INDIANAPOLIS VASCULAR SPECIALISTS CORP INDIANAPOLIS IN $282.71

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 100 $4K
2022 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 99 90 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $801.31
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 13 $735.36