Medicaid Provider Spending

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

SUN CITY SPORTS MEDICINE AND FAMILY CLINIC, PA

NPI: 1114289956 · EL PASO, TX 79938 · Sports Medicine (Family Medicine) Physician · NPI assigned 06/07/2012

$92K
Total Medicaid Paid
40,464
Total Claims
33,762
Beneficiaries
31
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPROVENCIO, MAURO (MD/OWNER)
NPI Enumeration Date06/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 91 $0.02
2020 2,256 $3K
2021 9,327 $21K
2022 10,538 $27K
2023 11,807 $28K
2024 6,445 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,848 1,529 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 947 861 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 24 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 15 $901.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 14 14 $325.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20 20 $272.96
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,450 2,780 $0.05
G8752 Most recent systolic blood pressure < 140 mmhg 3,049 2,541 $0.03
G8754 Most recent diastolic blood pressure < 90 mmhg 3,069 2,554 $0.03
G8510 Screening for depression is documented as negative, a follow-up plan is not required 28 27 $0.02
1159F 3,164 2,550 $0.00
4019F 2,734 2,291 $0.00
3078F 2,606 2,198 $0.00
99072 241 196 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 361 301 $0.00
1160F 3,163 2,548 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 27 23 $0.00
2001F 2,400 2,035 $0.00
3008F 2,726 2,285 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,123 1,782 $0.00
3074F 2,657 2,235 $0.00
2010F 2,350 1,992 $0.00
99070 56 50 $0.00
1036F 77 76 $0.00
2000F 2,623 2,206 $0.00
1170F 236 214 $0.00
1126F 191 172 $0.00
1125F 166 151 $0.00
3079F 26 24 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 26 24 $0.00
96127 45 44 $0.00