Medicaid Provider Spending

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

HOPE DIABETES CENTER, LLC

NPI: 1104865757 · MESA, AZ 85204 · Medical Physician Assistant · NPI assigned 06/06/2006

$1.84M
Total Medicaid Paid
28,386
Total Claims
24,225
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEGRERA-GRABANIA, MARILEY (PRESIDENT)
NPI Enumeration Date06/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,169 $74K
2019 2,540 $89K
2020 3,056 $117K
2021 4,636 $138K
2022 3,758 $173K
2023 3,739 $288K
2024 8,488 $958K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,985 9,953 $658K
36478 458 348 $310K
36465 307 226 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,215 3,699 $179K
99215 Prolong outpt/office vis 1,672 1,500 $127K
93970 605 601 $80K
93971 834 626 $69K
37252 50 37 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 393 392 $23K
93925 158 156 $21K
37253 49 36 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 384 309 $11K
99401 390 360 $10K
93922 204 204 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 78 77 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 68 39 $6K
36471 44 25 $5K
75710 41 31 $4K
99497 121 89 $4K
93923 42 40 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 268 253 $3K
95923 36 36 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 53 34 $2K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $2K
95921 36 36 $2K
36415 Collection of venous blood by venipuncture 1,085 1,036 $2K
99223 Prolong inpt eval add15 m 14 14 $2K
99152 55 43 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 53 34 $2K
99000 385 371 $2K
96160 420 392 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 53 34 $1K
97161 12 12 $1K
99153 Mod sedat endo service >5yrs 53 41 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
99490 Ccm add 20min 250 242 $1K
0011A 35 35 $1K
99457 146 129 $1K
73630 36 31 $958.10
0012A 24 24 $921.60
76937 46 35 $821.27
93000 83 72 $698.03
99454 149 125 $479.08
11721 15 13 $447.73
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 43 43 $243.27
81002 128 93 $138.09
94761 186 127 $135.85
G0444 Annual depression screening, 5 to 15 minutes 44 43 $51.12
99453 12 12 $11.74
99499 66 58 $0.24
3288F 296 240 $0.00
99072 75 60 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 93 82 $0.00
1159F 72 69 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 70 57 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 19 16 $0.00
1160F 71 68 $0.00
1158F 43 30 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 19 16 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 23 17 $0.00
1124F 19 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 20 20 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 55 44 $0.00
1170F 1,194 974 $0.00
1101F 249 194 $0.00
1123F 38 31 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 52 45 $0.00
1111F 41 31 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 14 $0.00