Medicaid Provider Spending

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

PROLIANCE SURGEONS, INC., P.S.

NPI: 1215368717 · MOUNT VERNON, WA 98274 · Otolaryngic Allergy Physician · NPI assigned 12/09/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FITZGERALD, DAVID controls 13+ related entities in our dataset. Read more

$246K
Total Medicaid Paid
7,132
Total Claims
5,873
Beneficiaries
12
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialFITZGERALD, DAVID (CEO)
NPI Enumeration Date12/09/2013

Related Entities

Other providers sharing the same authorized official: FITZGERALD, DAVID

ProviderCityStateTotal Paid
NEXUS COMMUNITY SERVICES CHESTER VA $1.42M
BERLIN FIRE COMPANY EMERGENCY MEDICAL SERVICES INC BERLIN MD $135K
PROLIANCE SURGEONS, INC., P.S. MOUNT VERNON WA $54K
PROLIANCE SURGEONS, INC., P.S. TACOMA WA $36K
BERLIN FIRE COMPANY INC BERLIN MD $27K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $10K
DAVID LAUREN FITZGERALD OD PA PLYMOUTH NC $7K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $7K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $6K
DAVID LAUREN FITZGERALD OD PA WILLIAMSTON NC $3K
DAVID LAUREN FITZGERALD OD PA WASHINGTON NC $3K
DAVID LAUREN FITZGERALD OD PA MOREHEAD CITY NC $2K
DAVID LAUREN FITZGERALD OD PA FARMVILLE NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,878 $136K
2019 2,655 $91K
2020 599 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,860 1,738 $100K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 777 770 $65K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 114 111 $23K
95117 2,081 1,226 $14K
69210 506 491 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 56 $8K
92567 735 719 $7K
95024 80 79 $5K
92557 167 164 $4K
95115 581 347 $4K
92587 158 158 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 16 14 $0.00