Medicaid Provider Spending

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

MUSKEGON SURGICAL ASSOCIATES PC

NPI: 1225101660 · MUSKEGON, MI 49444 · Plastic Surgery Physician · NPI assigned 11/15/2006

$1.69M
Total Medicaid Paid
44,351
Total Claims
37,702
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZONCA, STEPHEN (PLASTIC SURGERY)
NPI Enumeration Date11/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,648 $196K
2019 6,099 $186K
2020 5,390 $169K
2021 7,234 $300K
2022 7,146 $297K
2023 6,944 $302K
2024 4,890 $238K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,621 5,989 $253K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,249 4,218 $244K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,349 2,297 $142K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,566 3,534 $136K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,436 1,428 $130K
93971 2,740 2,641 $80K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,644 1,284 $79K
93970 1,619 1,564 $75K
93922 2,369 2,311 $71K
93978 783 778 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,589 2,255 $62K
93880 854 847 $53K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,138 856 $52K
99232 Subsequent hospital care, per day, moderate complexity 1,297 680 $49K
99222 Initial hospital care, per day, moderate complexity 396 383 $29K
99221 605 578 $29K
47562 87 81 $29K
76000 1,141 960 $21K
93926 334 322 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 500 378 $15K
97166 142 142 $8K
29848 24 24 $7K
58661 13 13 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes 246 117 $6K
99201 269 268 $6K
99152 656 570 $5K
93975 55 53 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 676 668 $4K
99233 Prolong inpt eval add15 m 64 56 $3K
93925 39 39 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 61 30 $1K
20550 25 24 $726.77
99153 Mod sedat endo service >5yrs 215 192 $707.68
97035 100 49 $697.42
99406 38 38 $311.28
76937 33 27 $303.70
J1010 Injection, methylprednisolone acetate, 1 mg 54 53 $239.50
77001 26 25 $189.72
99024 1,979 1,626 $0.00
1036F 25 24 $0.00
3017F 17 15 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 187 181 $0.00
4040F 18 18 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 33 30 $0.00
G8482 Influenza immunization administered or previously received 24 22 $0.00
3288F 15 14 $0.00