Medicaid Provider Spending

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

PRISMA COMMUNITY CARE

NPI: 1104929504 · PHOENIX, AZ 85004 · Clinical Psychologist · NPI assigned 09/07/2006

$1.14M
Total Medicaid Paid
19,196
Total Claims
12,699
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMON, CASEY (AUTHORIZED OFFICIAL)
NPI Enumeration Date09/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,542 $77K
2019 2,171 $64K
2020 897 $52K
2021 1,187 $89K
2022 2,714 $146K
2023 5,395 $314K
2024 5,290 $399K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 5,545 2,825 $498K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,474 2,362 $156K
H0004 Behavioral health counseling and therapy, per 15 minutes 2,594 1,260 $154K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,008 1,866 $99K
T1016 Case management, each 15 minutes 3,763 2,105 $88K
90834 Psychotherapy, 45 minutes with patient 575 437 $44K
90791 Psychiatric diagnostic evaluation 287 281 $40K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 383 369 $18K
90832 Psychotherapy, 30 minutes with patient 304 227 $14K
90792 Psychiatric diagnostic evaluation with medical services 67 67 $11K
H0031 Mental health assessment, by non-physician 75 64 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 71 71 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 192 186 $3K
99401 147 136 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 24 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 36 33 $884.93
80053 Comprehensive metabolic panel 195 106 $497.90
90472 Immunization administration, each additional vaccine (list separately) 29 26 $128.58
99000 77 65 $103.15
36415 Collection of venous blood by venipuncture 149 79 $89.02
80061 Lipid panel 25 12 $84.75
83036 Hemoglobin; glycosylated (A1C) 25 12 $66.10
84443 Thyroid stimulating hormone (TSH) 29 13 $50.41
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29 13 $23.29
82670 28 12 $0.00
84403 28 12 $0.00
90611 36 36 $0.00