Medicaid Provider Spending

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

SOUTH DENVER PHYSICIANS PLLC

NPI: 1124463161 · CENTENNIAL, CO 80112 · Neurology Physician · NPI assigned 05/03/2013

$258K
Total Medicaid Paid
6,180
Total Claims
5,701
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPALES, DMITRIY (SOLE MEMBER)
NPI Enumeration Date05/03/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,223 $51K
2019 1,071 $42K
2020 730 $32K
2021 840 $37K
2022 734 $28K
2023 874 $41K
2024 708 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,763 3,434 $161K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,421 1,331 $85K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 411 375 $7K
90688 140 134 $2K
90674 71 69 $1K
90686 73 73 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 88 82 $600.15
90653 24 24 $166.98
90694 44 39 $62.22
G0008 Administration of influenza virus vaccine 129 124 $0.00
90662 16 16 $0.00