Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › MESA › MOUNTAIN VISTA MEDICAL CENTER LP

MOUNTAIN VISTA MEDICAL CENTER LP

NPI: 1235212721 · MESA, AZ 85209 · General Acute Care Hospital · NPI assigned 10/20/2006

$20.74M
Total Medicaid Paid
609,530
Total Claims
480,364
Beneficiaries
240
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGOLICH, JACOB (HOSPITAL CEO)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: GOLICH, JACOB

ProviderCityStateTotal Paid
MOUNTAIN VISTA MEDICAL CENTER, LP FLORENCE AZ $8.21M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97,515 $3.27M
2019 91,226 $3.05M
2020 84,839 $2.79M
2021 107,169 $3.60M
2022 105,039 $3.68M
2023 78,560 $2.88M
2024 45,182 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,263 14,287 $3.93M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,781 3,496 $2.35M
80053 Comprehensive metabolic panel 27,490 21,718 $1.95M
99283 Emergency department visit for the evaluation and management, moderate severity 12,535 11,767 $1.57M
99284 Emergency department visit for the evaluation and management, high severity 16,293 14,961 $1.44M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,853 2,605 $1.25M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,952 2,806 $1.20M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,231 1,094 $892K
93458 751 685 $699K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,440 2,070 $542K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,143 1,077 $524K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 842 803 $418K
72125 Computed tomography, cervical spine; without contrast material 1,541 1,395 $414K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,590 2,226 $403K
C1776 Joint device (implantable) 402 284 $332K
70450 Computed tomography, head or brain; without contrast material 5,024 4,452 $200K
43235 714 668 $194K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,755 5,257 $174K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,635 1,560 $167K
59025 Fetal non-stress test 1,765 1,329 $159K
11045 339 150 $158K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 508 443 $141K
27447 18 16 $129K
93975 303 288 $111K
73562 840 757 $104K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,336 1,246 $92K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 223 196 $88K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 307 289 $86K
80050 General health panel 633 614 $83K
96361 Intravenous infusion, hydration; each additional hour 7,373 6,577 $82K
C1874 Stent, coated/covered, with delivery system 13 13 $76K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,543 1,792 $46K
99281 Emergency department visit for the evaluation and management, self-limited or minor 866 842 $46K
58571 12 12 $44K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 702 657 $43K
G0378 Hospital observation service, per hour 9,543 4,459 $40K
71046 Radiologic examination, chest; 2 views 5,663 5,282 $36K
47563 13 13 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,282 1,199 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 505 483 $25K
73630 387 364 $23K
70486 108 101 $21K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 573 531 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,328 6,403 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,381 13,159 $20K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,030 943 $18K
73030 588 523 $17K
73610 208 192 $17K
C1726 Catheter, balloon dilatation, non-vascular 152 126 $16K
73130 216 203 $15K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 52 52 $15K
96375 Therapeutic injection; each additional sequential IV push 10,839 9,220 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 755 676 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,522 1,142 $11K
93976 255 244 $11K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 189 181 $9K
77067 Screening mammography, bilateral, including computer-aided detection 106 105 $9K
71275 Computed tomographic angiography, chest, with contrast material 929 843 $9K
88304 1,261 1,177 $8K
72100 153 145 $8K
C1781 Mesh (implantable) 109 101 $8K
96376 2,491 1,968 $8K
87186 2,241 2,003 $7K
71045 Radiologic examination, chest; single view 9,445 8,303 $7K
72131 29 24 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 44 41 $7K
73110 28 26 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,779 12,188 $6K
80048 Basic metabolic panel (calcium, ionized) 8,248 6,384 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,442 4,834 $5K
93971 815 731 $5K
99215 Prolong outpt/office vis 56 44 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 47 45 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 312 284 $4K
73560 240 193 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $3K
A4649 Surgical supply; miscellaneous 544 470 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 336 178 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 217 166 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,383 2,171 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,071 2,813 $3K
86900 2,833 2,435 $3K
71250 13 13 $2K
97535 Self-care/home management training, each 15 minutes 1,396 895 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 33,094 25,063 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,517 1,035 $2K
87428 1,849 1,771 $2K
87088 2,696 2,371 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,966 3,195 $1K
99205 Prolong outpt/office vis 12 12 $1K
84484 9,977 6,380 $1K
84703 5,334 4,837 $1K
81001 10,411 9,285 $1K
94761 529 408 $929.12
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,549 1,460 $789.76
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80 70 $724.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,296 1,252 $711.13
76700 Ultrasound, abdominal, real time with image documentation; complete 16 14 $588.39
74018 405 364 $565.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,295 6,914 $488.21
83690 6,723 6,005 $448.99
81025 4,574 4,279 $418.92
87400 973 906 $414.30
36415 Collection of venous blood by venipuncture 41,128 29,549 $401.56
83605 4,504 3,729 $399.49
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,506 4,995 $399.07
85379 1,522 1,387 $391.62
83880 2,190 1,884 $386.22
82962 8,143 3,932 $374.14
73502 53 49 $358.26
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 12 $335.73
A9270 Non-covered item or service 9,799 1,414 $290.79
85610 8,549 7,090 $290.36
97597 23 12 $275.60
85027 3,918 3,249 $265.32
84702 1,381 1,265 $257.99
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 38 36 $256.30
81003 8,273 7,523 $252.67
83735 4,656 3,617 $245.49
90715 600 572 $243.20
85730 4,628 4,071 $208.23
J7030 Infusion, normal saline solution , 1000 cc 8,996 7,374 $207.12
97162 788 683 $193.03
J1885 Injection, ketorolac tromethamine, per 15 mg 10,507 8,451 $123.93
87040 2,645 1,710 $122.19
80061 Lipid panel 385 316 $121.46
82550 1,775 1,537 $115.14
J2270 Injection, morphine sulfate, up to 10 mg 10,609 7,154 $110.11
87086 Culture, bacterial; quantitative colony count, urine 3,342 3,081 $107.02
88342 705 675 $94.08
87081 665 643 $91.71
J3490 Unclassified drugs 431 371 $89.53
84443 Thyroid stimulating hormone (TSH) 1,225 1,019 $86.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 671 586 $85.07
J3010 Injection, fentanyl citrate, 0.1 mg 12,964 10,614 $84.65
J0330 Injection, succinylcholine chloride, up to 20 mg 4,101 3,749 $84.26
97165 690 624 $80.54
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,862 2,478 $75.41
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,961 8,379 $73.84
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,055 814 $73.77
J2060 Injection, lorazepam, 2 mg 2,024 1,550 $65.43
83036 Hemoglobin; glycosylated (A1C) 1,517 1,333 $63.10
J7120 Ringers lactate infusion, up to 1000 cc 2,199 1,577 $60.95
82947 838 396 $52.56
J1170 Injection, hydromorphone, up to 4 mg 3,567 2,137 $50.88
73090 19 14 $50.60
76801 202 176 $46.38
J2704 Injection, propofol, 10 mg 10,133 7,520 $43.11
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 56 50 $42.99
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 56 50 $42.99
87070 540 476 $41.17
80047 1,563 1,354 $41.04
94760 773 611 $40.51
J0690 Injection, cefazolin sodium, 500 mg 6,122 4,381 $34.48
87077 1,276 1,122 $28.31
J0780 Injection, prochlorperazine, up to 10 mg 515 442 $27.43
J2765 Injection, metoclopramide hcl, up to 10 mg 1,928 1,725 $26.86
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 756 721 $25.00
86901 2,834 2,435 $22.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 853 796 $22.30
J2360 Injection, orphenadrine citrate, up to 60 mg 506 473 $21.54
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,406 2,244 $20.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 622 303 $17.70
86850 2,584 2,216 $15.16
82077 349 329 $13.82
J2250 Injection, midazolam hydrochloride, per 1 mg 9,334 8,075 $13.14
J3370 Injection, vancomycin hcl, 500 mg 1,994 1,269 $9.54
87205 642 560 $9.43
J1644 Injection, heparin sodium, per 1000 units 5,694 2,288 $9.19
97116 715 395 $7.21
C9113 Injection, pantoprazole sodium, per vial 550 395 $7.06
80076 165 161 $6.54
J7050 Infusion, normal saline solution, 250 cc 491 379 $5.18
87420 125 122 $4.68
84100 287 227 $4.21
87147 277 246 $3.91
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 228 182 $0.80
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,949 1,715 $0.00
C1760 Closure device, vascular (implantable/insertable) 239 216 $0.00
A6255 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 62 55 $0.00
85347 279 169 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 631 547 $0.00
97161 1,131 992 $0.00
99152 1,747 1,530 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 167 146 $0.00
84439 98 93 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 295 230 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 376 311 $0.00
C1758 Catheter, ureteral 1,126 996 $0.00
85007 214 184 $0.00
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 226 204 $0.00
80143 316 284 $0.00
80179 281 259 $0.00
29125 13 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 48 40 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 224 168 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 15 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 87 82 $0.00
96367 19 14 $0.00
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 56 43 $0.00
87075 16 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 49 40 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 184 101 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 166 159 $0.00
J1956 Injection, levofloxacin, 250 mg 20 12 $0.00
84600 13 13 $0.00
83540 12 12 $0.00
82948 24 19 $0.00
C1769 Guide wire 1,937 1,657 $0.00
72170 29 24 $0.00
86140 164 148 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 1,758 1,613 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 1,600 1,450 $0.00
99153 Mod sedat endo service >5yrs 1,188 1,039 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 35 25 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 454 317 $0.00
97035 441 227 $0.00
80329 664 436 $0.00
J1630 Injection, haloperidol, up to 5 mg 131 107 $0.00
80320 1,481 1,347 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 139 115 $0.00
J0456 Injection, azithromycin, 500 mg 33 28 $0.00
77063 Screening digital breast tomosynthesis, bilateral 94 93 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 284 269 $0.00
88307 172 151 $0.00
A4215 Needle, sterile, any size, each 395 388 $0.00
87807 161 159 $0.00
84132 44 38 $0.00
76830 Ultrasound, transvaginal 96 94 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 306 212 $0.00
J3480 Injection, potassium chloride, per 2 meq 79 59 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 19 15 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 16 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 34 25 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 24 13 $0.00
36416 31 18 $0.00
82553 45 34 $0.00
97166 31 28 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 13 12 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 26 25 $0.00