Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Tucson › NPI 1265818488
Physician

SMSJ Tucson Holdings LLC

SMSJ Tucson Holdings LLC was paid $29.82M by Medicaid between Jan 2018 and Dec 2024, across 310 billing codes. Its largest line is 99283, emergency room visit (moderate) — 23% of everything it billed.

33Billing provider infoSMSJ TUCSON HOLDINGS LLC
TUCSON, AZ 85745
33aNPI1265818488assigned 08/11/2015
28Total paid$29.82M
24GClaims933,393
24DCodes billed310
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Arizona

Rank by total paid#2 of 132
Median peer was paid$6K
This provider vs. median4,613×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018229,550$6.62M
2019196,084$6.12M
2020119,354$3.67M
2021115,345$3.61M
2022109,075$3.69M
202389,835$3.31M
2024incomplete74,150$2.80M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 23% 46,224 41,568 $6.95M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 39,358 34,915 $6.63M
74177 Computed tomography, abdomen and pelvis; with contrast material 8.9% 5,800 5,318 $2.65M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.5% 12,474 11,344 $1.63M
74176 Computed tomography, abdomen and pelvis; without contrast material 5.3% 4,351 4,002 $1.59M
70450 Computed tomography, head or brain; without contrast material 5.1% 8,564 7,762 $1.51M
72125 Computed tomography, cervical spine; without contrast material 2.7% 2,536 2,349 $799K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2.3% 4,953 1,970 $691K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2.3% 816 695 $680K
G0378 Hospital observation service, per hour 2.1% 9,800 5,237 $625K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.9% 6,569 6,061 $564K
71275 Computed tomographic angiography, chest, with contrast material 1.8% 1,581 1,429 $538K
298 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 941 $484K
96361 Intravenous infusion, hydration; each additional hour 1.5% 16,749 $438K
47563 1.2% 110 $367K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 6,478 $320K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 3,420 $175K
93458 <1% 111 $172K
97602 <1% 2,217 $170K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,712 $157K
49083 <1% 443 $151K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 148 $149K
72131 <1% 983 $146K
10060 <1% 815 $140K
70486 <1% 587 $133K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,619 $129K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,601 $114K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 9,338 $102K
73564 <1% 2,716 $96K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 199 $92K
97113 <1% 1,441 $88K
C1781 Mesh (implantable) <1% 352 $88K
12001 <1% 507 $86K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,680 $81K
77067 Screening mammography, bilateral, including computer-aided detection <1% 956 $77K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,559 $70K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 467 $64K
73030 <1% 1,995 $63K
87070 <1% 4,914 $46K
29581 <1% 4,086 $46K
29125 <1% 301 $45K
97162 <1% 1,044 $45K
71046 Radiologic examination, chest; 2 views <1% 9,787 $41K
70498 <1% 100 $33K
88304 <1% 2,723 $30K
93798 <1% 532 $25K
93971 <1% 1,702 $25K
71250 <1% 268 $24K
12002 <1% 134 $24K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,056 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 26,002 $22K
97163 <1% 292 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 446 $16K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 660 $16K
71045 Radiologic examination, chest; single view <1% 15,486 $16K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,721 $15K
80053 Comprehensive metabolic panel <1% 54,249 $14K
97750 <1% 595 $14K
88341 <1% 36 $13K
84484 <1% 20,317 $12K
96375 Therapeutic injection; each additional sequential IV push <1% 16,426 $12K
29515 <1% 104 $11K
73130 <1% 2,078 $11K
73630 <1% 2,180 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 10,345 $9K
97116 <1% 1,232 $9K
97535 Self-care/home management training, each 15 minutes <1% 952 $9K
90935 Hemodialysis procedure with single evaluation by a physician <1% 84 $8K
73110 <1% 924 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 27 $8K
72110 <1% 187 $7K
70551 Magnetic resonance imaging, brain; without contrast material <1% 31 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 38 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,481 $7K
97597 <1% 488 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,555 $5K
76770 <1% 214 $5K
73610 <1% 1,766 $5K
97161 <1% 201 $4K
88307 <1% 191 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 19,746 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 19 $4K
77080 <1% 174 $4K
10061 <1% 14 $3K
80320 <1% 2,651 $3K
73502 <1% 876 $3K
72100 <1% 825 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 57,880 $3K
93970 <1% 138 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,430 $3K
11045 <1% 57 $3K
72128 <1% 40 $3K
74018 <1% 332 $2K
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 <1% 781 $2K
12011 <1% 12 $2K
29130 <1% 12 $2K
76830 Ultrasound, transvaginal <1% 461 $2K
97166 <1% 206 $2K
36415 Collection of venous blood by venipuncture <1% 11,891 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 11,073 $2K
82803 <1% 307 $2K
77065 Tomosynthesis, mammo <1% 31 $2K
72070 <1% 207 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,536 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 17 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 248 $2K
72050 <1% 41 $2K
81001 <1% 24,736 $1K
83880 <1% 4,595 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 837 $1K
73080 <1% 232 $1K
36410 <1% 32 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,641 $1K
80143 <1% 780 $1K
71101 <1% 232 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,037 $952.67
72040 <1% 189 $888.46
87040 <1% 3,485 $883.17
73560 <1% 29 $849.71
73140 <1% 178 $780.31
83735 <1% 25,574 $766.61
83690 <1% 15,607 $731.54
81025 <1% 11,647 $704.83
73590 <1% 409 $685.91
80061 Lipid panel <1% 946 $656.57
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 12 $643.58
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 207 $577.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,049 $563.05
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 162 $559.69
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,277 $557.05
85027 <1% 6,111 $524.61
85610 <1% 8,842 $512.01
85730 <1% 4,441 $506.72
96367 <1% 744 $495.80
87186 <1% 3,699 $474.62
93017 <1% 819 $438.19
97014 <1% 668 $429.09
84702 <1% 2,212 $420.42
84443 Thyroid stimulating hormone (TSH) <1% 2,741 $399.90
76642 <1% 55 $373.69
82948 <1% 18,850 $369.43
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 22 $360.49
87073 <1% 2,194 $351.13
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 19,086 $318.47
96376 <1% 6,142 $289.05
36592 <1% 374 $280.78
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,035 $269.61
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 270 $249.00
87088 <1% 5,574 $247.86
83036 Hemoglobin; glycosylated (A1C) <1% 1,369 $234.85
90715 <1% 2,442 $233.17
J2270 Injection, morphine sulfate, up to 10 mg <1% 10,572 $184.15
80047 <1% 1,771 $179.33
A9270 Non-covered item or service <1% 41,361 $177.35
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,680 $176.90
87430 <1% 2,268 $171.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,515 $156.26
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,516 $153.51
87634 <1% 758 $150.85
83605 <1% 4,488 $148.88
84703 <1% 1,965 $135.61
85379 <1% 2,574 $123.38
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 319 $116.97
74019 <1% 127 $116.61
J2060 Injection, lorazepam, 2 mg <1% 3,533 $101.50
87147 <1% 1,464 $96.84
74022 <1% 25 $96.25
76857 <1% 27 $92.98
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 91 $90.30
G0379 Direct admission of patient for hospital observation care <1% 13 $84.54
86850 <1% 1,364 $67.55
J1170 Injection, hydromorphone, up to 4 mg <1% 3,876 $64.25
J0690 Injection, cefazolin sodium, 500 mg <1% 5,750 $63.07
84132 <1% 1,381 $60.76
87077 <1% 3,017 $58.76
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,171 $56.39
81003 <1% 3,038 $55.85
82550 <1% 1,874 $53.82
73090 <1% 169 $50.85
J3370 Injection, vancomycin hcl, 500 mg <1% 1,213 $48.59
99152 <1% 1,007 $47.50
82565 <1% 1,765 $46.70
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,877 $43.35
82947 <1% 900 $43.15
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,655 $38.48
86901 <1% 1,874 $38.15
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,213 $30.49
86900 <1% 1,878 $25.58
J1790 Injection, droperidol, up to 5 mg <1% 892 $24.22
J1644 Injection, heparin sodium, per 1000 units <1% 4,092 $23.94
80076 <1% 153 $22.39
85651 <1% 1,258 $21.95
85014 <1% 2,785 $21.61
J3480 Injection, potassium chloride, per 2 meq <1% 659 $21.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,681 $20.56
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,178 $19.18
87205 <1% 3,024 $19.11
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,019 $16.16
94664 <1% 419 $15.32
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,782 $14.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,495 $13.38
J3010 Injection, fentanyl citrate, 0.1 mg <1% 7,628 $12.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,317 $11.19
J0780 Injection, prochlorperazine, up to 10 mg <1% 770 $9.90
87807 <1% 285 $8.57
82272 <1% 551 $6.59
J3490 Unclassified drugs <1% 158 $5.99
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 34 $4.32
J1815 Injection, insulin, per 5 units <1% 506 $2.76
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,277 $1.16
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 1,472 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 144 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 0% 183 $0.00
87210 0% 607 $0.00
82010 0% 434 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 1,509 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 35 $0.00
84100 0% 1,194 $0.00
J1245 Injection, dipyridamole, per 10 mg 0% 263 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 1,437 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 606 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 583 $0.00
82248 0% 186 $0.00
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 0% 164 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 0% 203 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 152 $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 0% 644 $0.00
C1729 Catheter, drainage 0% 537 $0.00
82140 0% 208 $0.00
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 0% 132 $0.00
84520 0% 73 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 235 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 564 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 33 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 132 $0.00
74300 0% 110 $0.00
87045 0% 14 $0.00
84295 0% 50 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 55 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 40 $0.00
85347 0% 20 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 78 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 17 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 0% 79 $0.00
36600 0% 23 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 25 $0.00
C1758 Catheter, ureteral 0% 45 $0.00
89051 0% 31 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 15 $0.00
97167 0% 15 $0.00
87899 0% 18 $0.00
87324 0% 14 $0.00
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 0% 37 $0.00
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 0% 14 $0.00
82374 0% 13 $0.00
C1769 Guide wire 0% 1,810 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 273 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 192 $0.00
99153 Mod sedat endo service >5yrs 0% 131 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 1,072 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 241 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 1,795 $0.00
82330 0% 16 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 329 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 61 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 42 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 374 $0.00
88342 0% 1,653 $0.00
J7999 Compounded drug, not otherwise classified 0% 645 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 196 $0.00
J2704 Injection, propofol, 10 mg 0% 2,357 $0.00
94760 0% 1,718 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 334 $0.00
77001 0% 13 $0.00
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 0% 503 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 1,633 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 0% 26 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 725 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 228 $0.00
80051 0% 72 $0.00
87490 0% 131 $0.00
76801 0% 304 $0.00
36416 0% 3,084 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 205 $0.00
88311 0% 454 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 56 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 176 $0.00
J0456 Injection, azithromycin, 500 mg 0% 82 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 120 $0.00
87015 0% 236 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 62 $0.00
95886 0% 12 $0.00
G0008 Administration of influenza virus vaccine 0% 36 $0.00
70496 0% 80 $0.00
82435 0% 50 $0.00
85018 0% 17 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 176 $0.00
J0280 Injection, aminophyllin, up to 250 mg 0% 74 $0.00
90732 0% 13 $0.00
86140 0% 82 $0.00
99406 0% 51 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 23 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 97 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 0% 27 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 23 $0.00
73060 0% 15 $0.00
76870 0% 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 20 $0.00
88300 0% 15 $0.00
82150 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCORMIER, CRISTIAN (CFO)
Same official

Other billing entities under CORMIER, CRISTIAN

Full network →
ProviderLocationPaid
SMSJ Tucson Holdings LLCTucson, AZ$28.93M
SMSJ Tucson Holdings, LLCTucson, AZ$2.95M
SMSJ Tucson Holdings LLCTucson, AZ$2.43M
SMSJ Tucson Holdings, LLCTucson, AZ$25K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.