Medicaid Provider Spending

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

METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.

NPI: 1124074273 · SAN ANTONIO, TX 78229 · Ambulatory Surgical Clinic/Center · NPI assigned 05/26/2006

$68.01M
Total Medicaid Paid
856,650
Total Claims
793,624
Beneficiaries
187
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERRON, MICHAEL (CFO)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: HERRON, MICHAEL

ProviderCityStateTotal Paid
NORTHERN UTAH HEALTHCARE CORPORATION SALT LAKE CITY UT $35.69M
BAY MEDICAL, LLC CHESAPEAKE BEACH MD $922K
SUGAR MILL DIAGNOSTIC IMAGING LLC HOMOSASSA FL $170.68

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 642 $27K
2020 19,063 $1.32M
2021 195,932 $14.15M
2022 239,480 $19.44M
2023 243,230 $20.89M
2024 158,303 $12.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 166,771 163,291 $31.85M
99284 Emergency department visit for the evaluation and management, high severity 71,045 67,736 $24.34M
99282 Emergency department visit for the evaluation and management, low to moderate severity 37,242 36,772 $5.95M
80053 Comprehensive metabolic panel 55,307 50,680 $705K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,827 3,751 $550K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29,349 28,922 $388K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,626 1,590 $288K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,833 2,698 $261K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 32,698 32,044 $259K
85027 80,809 71,737 $229K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,846 17,851 $194K
80048 Basic metabolic panel (calcium, ionized) 7,990 6,140 $183K
76801 1,583 1,399 $156K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,622 2,411 $146K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,552 13,455 $128K
80076 1,965 1,088 $124K
76770 663 644 $123K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 28,496 28,081 $122K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,504 1,348 $120K
70450 Computed tomography, head or brain; without contrast material 3,358 3,160 $115K
71045 Radiologic examination, chest; single view 21,931 21,005 $110K
76700 Ultrasound, abdominal, real time with image documentation; complete 387 380 $93K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,050 939 $89K
83735 11,954 8,146 $88K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,496 2,394 $87K
71046 Radiologic examination, chest; 2 views 11,295 11,110 $86K
83615 3,495 1,859 $71K
16020 270 162 $69K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 7,282 7,187 $61K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,609 6,529 $60K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,343 1,284 $60K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 331 322 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,796 3,444 $43K
87507 970 957 $38K
96361 Intravenous infusion, hydration; each additional hour 536 494 $37K
81001 30,313 28,790 $35K
93975 139 130 $27K
84702 2,990 2,642 $25K
82657 711 454 $25K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 28 27 $25K
93017 335 325 $24K
71260 Computed tomography, thorax, diagnostic; with contrast material 455 438 $22K
49083 137 69 $20K
72125 Computed tomography, cervical spine; without contrast material 1,154 1,090 $20K
83880 3,087 2,783 $19K
83690 10,864 10,207 $18K
88312 548 536 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,287 1,130 $18K
84100 3,217 2,201 $17K
87086 Culture, bacterial; quantitative colony count, urine 7,333 7,065 $17K
74018 570 553 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,882 3,106 $16K
96375 Therapeutic injection; each additional sequential IV push 4,193 3,706 $15K
93976 176 164 $14K
84484 7,578 5,836 $13K
74019 2,096 2,060 $13K
G0378 Hospital observation service, per hour 196 177 $13K
76705 Ultrasound, abdominal, real time with image documentation; limited 214 206 $13K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,365 1,310 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 331 186 $11K
87040 2,996 2,567 $11K
84703 5,255 5,030 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,174 3,664 $10K
97163 146 134 $10K
82248 2,759 2,154 $9K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 152 121 $9K
81025 2,806 2,701 $9K
86140 3,778 3,681 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 777 406 $8K
86850 1,202 1,108 $8K
81003 7,847 7,439 $8K
97166 75 72 $7K
87631 767 758 $7K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 197 190 $7K
73630 366 337 $6K
84443 Thyroid stimulating hormone (TSH) 1,938 1,788 $5K
G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present 102 101 $5K
85610 4,043 3,722 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling 7,830 7,717 $5K
80197 2,446 1,398 $5K
85730 2,717 2,547 $5K
99152 484 463 $4K
86900 2,732 2,482 $4K
86901 2,723 2,476 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,030 3,920 $4K
J2785 Injection, regadenoson, 0.1 mg 306 298 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 48 48 $4K
83605 1,866 1,635 $4K
87070 967 764 $3K
80143 1,125 993 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 40 40 $3K
86003 12 12 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,818 4,177 $3K
J7030 Infusion, normal saline solution , 1000 cc 7,071 6,258 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,042 1,815 $3K
73030 177 164 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,252 1,071 $3K
87077 1,274 1,208 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,548 3,158 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 140 136 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 152 148 $2K
85379 578 541 $2K
80061 Lipid panel 438 417 $2K
73610 120 114 $2K
71250 60 58 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 31 30 $2K
83036 Hemoglobin; glycosylated (A1C) 733 696 $2K
80069 1,976 1,141 $2K
87186 1,139 1,074 $2K
96450 12 12 $1K
82785 24 24 $1K
85652 175 165 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 414 409 $1K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 11,850 11,483 $1K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 13 13 $1K
85007 109 66 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 217 167 $1K
J7120 Ringers lactate infusion, up to 1000 cc 740 676 $1K
73560 62 53 $953.45
82570 1,776 1,055 $901.77
93356 694 676 $872.23
82550 726 662 $869.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 178 175 $801.87
J2270 Injection, morphine sulfate, up to 10 mg 2,507 1,940 $798.17
88108 12 12 $763.92
J7050 Infusion, normal saline solution, 250 cc 1,295 1,048 $702.70
84156 1,668 1,055 $686.43
93971 125 121 $658.18
76820 29 26 $626.92
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 14 14 $570.06
97535 Self-care/home management training, each 15 minutes 84 57 $567.19
89051 37 25 $549.19
J1885 Injection, ketorolac tromethamine, per 15 mg 1,114 744 $548.35
83789 13 13 $514.70
94644 24 24 $512.97
J1170 Injection, hydromorphone, up to 4 mg 496 386 $470.23
96376 390 319 $418.73
73130 16 15 $385.45
J3010 Injection, fentanyl citrate, 0.1 mg 1,546 1,435 $345.88
C1729 Catheter, drainage 181 104 $340.27
82803 75 63 $337.08
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 813 780 $307.74
99153 Mod sedat endo service >5yrs 59 43 $299.14
73502 57 51 $284.53
0097U 1,407 1,389 $273.46
87205 287 159 $265.12
0098U 635 620 $262.18
90715 79 77 $253.53
J0690 Injection, cefazolin sodium, 500 mg 467 392 $240.77
72131 15 12 $213.76
84030 13 13 $184.43
A9270 Non-covered item or service 8,368 4,591 $184.06
C1769 Guide wire 658 628 $183.62
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 15 15 $144.73
88342 40 37 $133.39
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 338 327 $118.52
88341 14 12 $109.92
82728 27 25 $99.22
J1644 Injection, heparin sodium, per 1000 units 249 206 $90.78
76376 38 37 $70.91
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13 12 $68.81
73590 17 15 $61.48
87340 27 27 $58.03
86665 13 13 $56.98
97802 143 136 $50.19
86803 15 15 $48.28
86787 12 12 $40.46
S5000 Prescription drug, generic 18 16 $39.88
J2704 Injection, propofol, 10 mg 1,282 1,229 $35.74
J2550 Injection, promethazine hcl, up to 50 mg 12 12 $33.33
86141 51 50 $32.93
J0360 Injection, hydralazine hcl, up to 20 mg 75 65 $28.36
J1815 Injection, insulin, per 5 units 187 114 $25.33
82105 12 12 $25.26
86644 12 12 $22.61
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 38 37 $18.88
86706 13 13 $16.86
84439 13 12 $15.16
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 16 12 $14.94
J1200 Injection, diphenhydramine hcl, up to 50 mg 36 32 $14.58
82010 16 13 $13.72
82140 14 13 $12.24
81000 13 12 $6.42
76819 Fetal biophysical profile; without non-stress testing 13 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 13 13 $0.00
J3490 Unclassified drugs 58 52 $0.00
87420 38 38 $0.00