Medicaid Provider Spending

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

PONDEROSA FAMILY CARE, LLC

NPI: 1144535626 · PAYSON, AZ 85541 · Pediatrics Physician · NPI assigned 08/09/2010

$494K
Total Medicaid Paid
9,468
Total Claims
7,881
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialMICHELS, ALAN (PHYSICIAN)
NPI Enumeration Date08/09/2010

Related Entities

Other providers sharing the same authorized official: MICHELS, ALAN

ProviderCityStateTotal Paid
PONDEROSA FAMILY CARE, LLC PAYSON AZ $2.13M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,060 $82K
2019 1,566 $82K
2020 1,923 $99K
2021 2,316 $97K
2022 1,249 $78K
2023 265 $35K
2024 89 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,338 3,644 $239K
T1015 Clinic visit/encounter, all-inclusive 605 494 $128K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,625 1,459 $52K
99215 Prolong outpt/office vis 192 166 $16K
99401 419 396 $12K
99308 Subsequent nursing facility care, per day, straightforward 849 391 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 124 122 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 289 246 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 185 173 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 248 235 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43 40 $3K
90472 Immunization administration, each additional vaccine (list separately) 84 82 $2K
0012A 72 71 $2K
0011A 77 75 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 96 79 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 32 $981.65
99201 20 19 $569.78
99306 Prolong nursin fac eval 15m 14 12 $400.94
36415 Collection of venous blood by venipuncture 55 51 $143.39
99307 17 16 $105.08
99000 28 25 $23.08
91301 40 39 $0.20