Medicaid Provider Spending

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

SAN PEDRO HEALTH PLLC

NPI: 1245501188 · SIERRA VISTA, AZ 85635 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 01/24/2012

$138K
Total Medicaid Paid
3,273
Total Claims
2,321
Beneficiaries
4
Codes Billed
2021-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREED, JAMES (MANAGER)
NPI Enumeration Date01/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 203 $5K
2022 1,268 $49K
2023 910 $42K
2024 892 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,166 896 $54K
90834 Psychotherapy, 45 minutes with patient 771 434 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 899 683 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 437 308 $14K