Medicaid Provider Spending

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

ST ELIZABETHS HEALTH CENTER INC

NPI: 1235560830 · TUCSON, AZ 85705 · Community Health Clinic/Center · NPI assigned 12/06/2013

$1.25M
Total Medicaid Paid
12,097
Total Claims
9,290
Beneficiary Records
15
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialMONTREDON, MAURICETTE (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/06/2013

Related Entities

Other providers sharing the same authorized official: MONTREDON, MAURICETTE

ProviderCityStateTotal Paid
ST ELIZABETHS HEALTH CENTER INC TUCSON AZ $2.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,681 $789K
2019 4,416 $458K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,453 4,689 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,326 1,205 $4.87
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,714 2,440 $3.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 195 186 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 593 236 $0.00
90686 186 172 $0.00
96152 433 190 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 28 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 16 15 $0.00
97803 53 52 $0.00
82947 15 14 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 31 26 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 26 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 12 $0.00
81002 13 12 $0.00