Medicaid Provider Spending

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

LAKE HAVASU PRIMARY CARE PLLC

NPI: 1194116186 · LAKE HAVASU CITY, AZ 86403 · Internal Medicine Physician · NPI assigned 02/11/2015

$537K
Total Medicaid Paid
12,184
Total Claims
10,341
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSIDIQI, ESSA (OWNER/MEMBER/MANAGER)
NPI Enumeration Date02/11/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,445 $109K
2019 2,183 $104K
2020 2,655 $88K
2021 2,087 $85K
2022 1,265 $76K
2023 954 $50K
2024 595 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,687 5,767 $442K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 242 241 $26K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,209 1,082 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 581 412 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 287 233 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 467 353 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 107 103 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 463 265 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 77 70 $3K
0012A 62 61 $2K
0011A 72 72 $2K
83036 Hemoglobin; glycosylated (A1C) 219 213 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 213 154 $2K
81002 454 431 $1K
93000 66 64 $841.66
86308 217 158 $634.31
82962 181 149 $437.13
80061 Lipid panel 44 40 $335.71
36415 Collection of venous blood by venipuncture 118 100 $261.00
J1885 Injection, ketorolac tromethamine, per 15 mg 80 70 $149.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 13 $66.50
91301 52 46 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 103 90 $0.00
G8482 Influenza immunization administered or previously received 68 61 $0.00
3288F 102 93 $0.00