Medicaid Provider Spending

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

SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC

NPI: 1144509985 · SAINT GEORGE, UT 84791 · Neurology Physician · NPI assigned 08/10/2011

$4.06M
Total Medicaid Paid
108,228
Total Claims
90,950
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPFATENHAUER, ASHLEY (CREDENTIALING & CONTRACTING MANAGER)
NPI Enumeration Date08/10/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,357 $236K
2019 12,317 $402K
2020 11,633 $437K
2021 18,513 $730K
2022 20,041 $857K
2023 16,741 $818K
2024 20,626 $579K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,618 28,172 $1.75M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,339 33,635 $1.40M
62323 1,911 1,734 $230K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 2,463 2,291 $184K
64635 434 350 $98K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,162 1,096 $96K
62321 331 323 $46K
64636 428 326 $44K
64493 267 251 $31K
27096 292 262 $25K
64494 414 223 $22K
80305 5,300 4,631 $11K
99152 579 473 $11K
76881 259 108 $10K
76882 701 285 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 10,086 8,244 $8K
77002 315 287 $7K
20553 229 218 $7K
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) 5,962 5,291 $7K
99215 Prolong outpt/office vis 66 63 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 102 102 $6K
20610 189 176 $6K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 63 59 $5K
76942 123 115 $4K
20611 80 76 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 81 76 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 42 12 $2K
64483 13 12 $2K
99205 Prolong outpt/office vis 15 15 $2K
80371 45 40 $1K
80368 45 40 $1K
80353 45 40 $1K
80367 45 40 $1K
80358 45 40 $1K
80359 45 40 $1K
80354 45 40 $1K
80348 45 40 $1K
80366 45 40 $1K
80370 45 40 $1K
80361 45 40 $1K
80373 45 40 $1K
80360 45 40 $1K
80372 45 40 $1K
80365 45 40 $1K
80325 45 40 $1K
80346 45 40 $1K
80355 45 40 $1K
80053 Comprehensive metabolic panel 38 37 $889.90
83992 45 40 $870.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 129 117 $703.64
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 14 13 $336.87
98980 17 16 $291.12
J3010 Injection, fentanyl citrate, 0.1 mg 503 409 $267.93
36415 Collection of venous blood by venipuncture 81 78 $248.87
J2250 Injection, midazolam hydrochloride, per 1 mg 580 473 $133.27
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15 13 $53.78
J1885 Injection, ketorolac tromethamine, per 15 mg 25 24 $46.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $8.06
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39 38 $6.21
98977 18 17 $0.00
85652 38 37 $0.00