Medicaid Provider Spending

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

NATIONAL SINUS INSTITUTE PLLC

NPI: 1194968081 · LOS ALAMOS, NM 87544 · Physician Assistant · NPI assigned 04/08/2009

$6.13M
Total Medicaid Paid
73,203
Total Claims
60,524
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUMMERS, ADRIENNE (CREDENTIALING MANAGER)
NPI Enumeration Date04/08/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,894 $316K
2019 6,626 $427K
2020 7,638 $567K
2021 13,052 $1.06M
2022 12,718 $977K
2023 15,867 $1.42M
2024 12,408 $1.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15,525 14,848 $1.85M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,907 18,193 $1.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,816 11,010 $697K
31231 3,757 3,491 $528K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 970 910 $414K
31295 132 127 $232K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,112 2,056 $182K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 674 557 $107K
70486 840 795 $88K
95117 8,824 3,152 $74K
31298 16 15 $67K
69210 1,792 1,518 $54K
30802 290 279 $36K
95115 4,630 1,705 $36K
42820 Tonsillectomy and adenoidectomy; younger than age 12 137 128 $31K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 206 206 $30K
92557 397 387 $12K
92588 429 419 $11K
99244 Office or other outpatient consultation, moderate to high complexity 52 52 $10K
30520 15 15 $8K
92567 444 435 $5K
31575 58 52 $4K
30140 12 12 $3K
30930 47 44 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 27 $800.01
92584 12 12 $634.13
95024 55 54 $290.91
92547 12 12 $43.97
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 13 $0.00