PROVIDENCE GENERAL MEDICINE, PC
NPI: 1164693974
· PHOENIX, AZ 85020
· 207R00000X
$8.83M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50,305 |
$1.91M |
| 2019 |
45,168 |
$1.45M |
| 2020 |
31,032 |
$1.13M |
| 2021 |
24,252 |
$1.06M |
| 2022 |
25,053 |
$1.20M |
| 2023 |
23,181 |
$1.16M |
| 2024 |
17,339 |
$912K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
69,139 |
60,494 |
$3.50M |
| 99214 |
|
28,779 |
25,842 |
$1.92M |
| 99394 |
|
6,006 |
5,906 |
$514K |
| 95165 |
|
5,737 |
508 |
$494K |
| 99393 |
|
6,135 |
6,035 |
$473K |
| 90460 |
|
13,462 |
13,180 |
$427K |
| 99392 |
|
4,010 |
3,932 |
$305K |
| 99391 |
|
2,697 |
2,623 |
$190K |
| 99395 |
|
1,293 |
1,245 |
$111K |
| 99396 |
|
1,162 |
1,101 |
$108K |
| 95004 |
|
474 |
467 |
$96K |
| 99204 |
|
878 |
840 |
$89K |
| 99211 |
|
7,171 |
3,984 |
$84K |
| 99215 |
Prolong outpt/office vis |
686 |
639 |
$58K |
| 92551 |
|
7,870 |
7,402 |
$57K |
| 95117 |
|
6,733 |
2,581 |
$57K |
| 90461 |
|
1,959 |
1,768 |
$50K |
| 90471 |
|
2,504 |
2,373 |
$49K |
| 90682 |
|
1,004 |
962 |
$39K |
| 99203 |
|
432 |
417 |
$30K |
| 96372 |
|
1,383 |
1,240 |
$24K |
| 87880 |
|
1,756 |
1,659 |
$19K |
| 90688 |
|
3,357 |
3,073 |
$18K |
| 92552 |
|
537 |
525 |
$11K |
| 82962 |
|
6,081 |
5,154 |
$11K |
| 95115 |
|
1,563 |
589 |
$11K |
| 96110 |
|
803 |
767 |
$11K |
| 99173 |
|
6,324 |
5,891 |
$10K |
| 87804 |
|
936 |
423 |
$7K |
| 94760 |
|
7,191 |
5,950 |
$5K |
| 99385 |
|
39 |
39 |
$4K |
| 96127 |
|
939 |
936 |
$4K |
| 20550 |
|
97 |
92 |
$4K |
| 81002 |
|
1,398 |
1,309 |
$4K |
| 0011A |
|
104 |
102 |
$4K |
| 0012A |
|
106 |
102 |
$4K |
| 99381 |
|
45 |
44 |
$3K |
| 96160 |
|
1,280 |
1,234 |
$3K |
| 90620 |
|
921 |
867 |
$3K |
| 90670 |
|
1,996 |
1,857 |
$3K |
| 99212 |
|
81 |
77 |
$2K |
| 0064A |
|
66 |
57 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
144 |
127 |
$2K |
| 90651 |
|
328 |
317 |
$1K |
| 90472 |
|
103 |
95 |
$1K |
| 93000 |
|
74 |
70 |
$901.60 |
| 94640 |
|
59 |
59 |
$831.97 |
| J1885 |
Ketorolac tromethamine inj |
465 |
415 |
$767.28 |
| 36415 |
|
191 |
172 |
$448.49 |
| 99000 |
|
692 |
644 |
$398.63 |
| J3420 |
Vitamin b12 injection |
172 |
157 |
$391.39 |
| 90734 |
|
790 |
730 |
$331.89 |
| 96161 |
|
254 |
232 |
$256.11 |
| 90658 |
|
48 |
48 |
$175.82 |
| 97802 |
|
17 |
16 |
$114.63 |
| 90715 |
|
307 |
300 |
$90.04 |
| 81025 |
|
12 |
12 |
$33.28 |
| 90687 |
|
258 |
231 |
$2.25 |
| 90698 |
|
1,207 |
1,134 |
$0.02 |
| 90680 |
|
976 |
916 |
$0.01 |
| 90744 |
|
506 |
486 |
$0.01 |
| 90686 |
|
1,213 |
1,153 |
$0.00 |
| G0008 |
Admin influenza virus vac |
61 |
55 |
$0.00 |
| 90716 |
|
189 |
183 |
$0.00 |
| 90697 |
|
46 |
46 |
$0.00 |
| 90696 |
|
107 |
98 |
$0.00 |
| 90619 |
|
145 |
137 |
$0.00 |
| 90649 |
|
1,034 |
968 |
$0.00 |
| A4614 |
Hand-held pefr meter |
794 |
579 |
$0.00 |
| 90633 |
|
575 |
541 |
$0.00 |
| 90707 |
|
201 |
197 |
$0.00 |
| 90671 |
|
49 |
48 |
$0.00 |
| 90710 |
|
115 |
105 |
$0.00 |
| 90700 |
|
64 |
57 |
$0.00 |