Medicaid Provider Spending

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

ROSE MEDICAL PAVILION PLLC

NPI: 1154101152 · PHOENIX, AZ 85050 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 10/05/2023

$14K
Total Medicaid Paid
155
Total Claims
151
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZACH, TAMARA (PHYSICIAN OWNER)
NPI Enumeration Date10/05/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 155 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 68 66 $7K
99205 Prolong outpt/office vis 49 48 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 37 $815.62