Medicaid Provider Spending

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

PATHWAYS MEDICAL PARTNERS

NPI: 1144762238 · TUCSON, AZ 85728 · Family Medicine Physician · NPI assigned 11/07/2016

$1.06M
Total Medicaid Paid
30,032
Total Claims
18,815
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORBON, IVAN (OWNER)
NPI Enumeration Date11/07/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,330 $70K
2019 3,476 $125K
2020 3,940 $146K
2021 7,046 $256K
2022 5,772 $200K
2023 4,200 $144K
2024 3,268 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 8,484 4,333 $267K
99336 5,909 3,960 $234K
99233 Prolong inpt eval add15 m 2,721 780 $109K
99310 Prolong nursin fac eval 15m 2,222 1,627 $99K
99349 2,940 2,202 $99K
99223 Prolong inpt eval add15 m 979 888 $67K
99497 2,242 2,075 $62K
99308 Subsequent nursing facility care, per day, straightforward 2,701 1,325 $50K
99306 Prolong nursin fac eval 15m 431 413 $33K
99356 474 360 $16K
99335 337 297 $8K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 321 317 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34 34 $2K
99305 27 27 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 80 52 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $571.74
99350 Prolong home eval add 15m 15 15 $487.41
90688 28 28 $152.45
G0008 Administration of influenza virus vaccine 61 56 $77.22
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 13 13 $50.25