Medicaid Provider Spending

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

SMSJ TUCSON HOLDINGS LLC

NPI: 1265818488 · TUCSON, AZ 85745 · Diagnostic Radiology Physician

$29.82M
Total Medicaid Paid
933,393
Total Claims
739,869
Beneficiaries
310
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 229,550 $6.62M
2019 196,084 $6.12M
2020 119,354 $3.67M
2021 115,345 $3.61M
2022 109,075 $3.69M
2023 89,835 $3.31M
2024 74,150 $2.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 46,224 41,568 $6.95M
99284 39,358 34,915 $6.63M
74177 5,800 5,318 $2.65M
99285 12,474 11,344 $1.63M
74176 4,351 4,002 $1.59M
70450 8,564 7,762 $1.51M
72125 2,536 2,349 $799K
11042 4,953 1,970 $691K
78452 816 695 $680K
G0378 Hospital observation service, per hour 9,800 5,237 $625K
99282 6,569 6,061 $564K
71275 1,581 1,429 $538K
43239 941 879 $484K
96361 16,749 13,068 $438K
47563 110 105 $367K
97110 6,478 1,702 $320K
99281 3,420 3,218 $175K
93458 111 91 $172K
97602 2,217 494 $170K
88305 3,712 3,365 $157K
49083 443 192 $151K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 148 123 $149K
72131 983 916 $146K
10060 815 761 $140K
70486 587 547 $133K
97140 2,619 921 $129K
92507 1,601 594 $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 9,338 7,883 $102K
73564 2,716 2,363 $96K
70553 199 169 $92K
97113 1,441 432 $88K
C1781 Mesh (implantable) 352 323 $88K
12001 507 493 $86K
97112 1,680 492 $81K
77067 956 860 $77K
97530 1,559 689 $70K
93306 467 394 $64K
73030 1,995 1,801 $63K
87070 4,914 4,519 $46K
29581 4,086 737 $46K
29125 301 284 $45K
97162 1,044 893 $45K
71046 9,787 8,807 $41K
70498 100 98 $33K
88304 2,723 2,550 $30K
93798 532 92 $25K
93971 1,702 1,560 $25K
71250 268 239 $24K
12002 134 128 $24K
96366 2,056 1,311 $22K
93005 26,002 22,469 $22K
97163 292 246 $21K
76700 446 418 $16K
76856 660 618 $16K
71045 15,486 13,858 $16K
76705 1,721 1,605 $15K
80053 54,249 46,195 $14K
97750 595 492 $14K
88341 36 28 $13K
84484 20,317 13,812 $12K
96375 16,426 14,053 $12K
29515 104 100 $11K
73130 2,078 1,873 $11K
73630 2,180 1,931 $9K
80307 10,345 9,094 $9K
97116 1,232 481 $9K
97535 952 633 $9K
90935 84 42 $8K
73110 924 838 $8K
99291 27 27 $8K
72110 187 177 $7K
70551 31 27 $7K
45380 38 38 $7K
96365 7,481 6,536 $7K
97597 488 294 $6K
87635 3,555 3,275 $5K
76770 214 196 $5K
73610 1,766 1,618 $5K
97161 201 178 $4K
88307 191 172 $4K
96374 19,746 17,641 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 19 19 $4K
77080 174 145 $4K
10061 14 14 $3K
80320 2,651 2,443 $3K
73502 876 785 $3K
72100 825 757 $3K
85025 57,880 48,718 $3K
93970 138 121 $3K
87502 1,430 1,374 $3K
11045 57 13 $3K
72128 40 39 $3K
74018 332 302 $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 781 707 $2K
12011 12 12 $2K
29130 12 12 $2K
76830 461 434 $2K
97166 206 171 $2K
36415 11,891 7,120 $2K
80048 11,073 8,626 $2K
82803 307 271 $2K
77065 Tomosynthesis, mammo 31 26 $2K
72070 207 190 $2K
96360 5,536 4,915 $2K
45385 17 17 $2K
99212 248 172 $2K
72050 41 40 $2K
81001 24,736 22,394 $1K
83880 4,595 3,982 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 837 713 $1K
73080 232 215 $1K
36410 32 28 $1K
96372 10,641 8,040 $1K
80143 780 717 $1K
71101 232 219 $1K
94640 5,037 2,914 $952.67
72040 189 173 $888.46
87040 3,485 1,922 $883.17
73560 29 24 $849.71
73140 178 176 $780.31
83735 25,574 21,239 $766.61
83690 15,607 14,069 $731.54
81025 11,647 10,937 $704.83
73590 409 376 $685.91
80061 946 769 $656.57
71260 12 12 $643.58
G0463 Hospital outpatient clinic visit for assessment and management of a patient 207 120 $577.46
87804 4,049 3,806 $563.05
87801 162 154 $559.69
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,277 3,134 $557.05
85027 6,111 4,942 $524.61
85610 8,842 7,580 $512.01
85730 4,441 3,853 $506.72
96367 744 639 $495.80
87186 3,699 3,265 $474.62
93017 819 698 $438.19
97014 668 276 $429.09
84702 2,212 2,078 $420.42
84443 2,741 2,492 $399.90
76642 55 50 $373.69
82948 18,850 7,650 $369.43
99211 22 13 $360.49
87073 2,194 1,974 $351.13
J2405 Injection, ondansetron hydrochloride, per 1 mg 19,086 16,149 $318.47
96376 6,142 4,146 $289.05
36592 374 313 $280.78
87491 1,035 999 $269.61
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 270 227 $249.00
87088 5,574 5,116 $247.86
83036 1,369 1,185 $234.85
90715 2,442 2,337 $233.17
J2270 Injection, morphine sulfate, up to 10 mg 10,572 7,443 $184.15
80047 1,771 1,572 $179.33
A9270 Non-covered item or service 41,361 9,414 $177.35
J1885 Injection, ketorolac tromethamine, per 15 mg 11,680 10,529 $176.90
87430 2,268 2,177 $171.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,515 9,496 $156.26
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,516 3,132 $153.51
87634 758 741 $150.85
83605 4,488 3,667 $148.88
84703 1,965 1,892 $135.61
85379 2,574 2,353 $123.38
87651 319 315 $116.97
74019 127 114 $116.61
J2060 Injection, lorazepam, 2 mg 3,533 2,992 $101.50
87147 1,464 1,241 $96.84
74022 25 24 $96.25
76857 27 26 $92.98
76815 91 84 $90.30
G0379 Direct admission of patient for hospital observation care 13 13 $84.54
86850 1,364 1,166 $67.55
J1170 Injection, hydromorphone, up to 4 mg 3,876 2,957 $64.25
J0690 Injection, cefazolin sodium, 500 mg 5,750 4,659 $63.07
84132 1,381 1,134 $60.76
87077 3,017 2,578 $58.76
87591 1,171 1,123 $56.39
81003 3,038 2,826 $55.85
82550 1,874 1,563 $53.82
73090 169 155 $50.85
J3370 Injection, vancomycin hcl, 500 mg 1,213 867 $48.59
99152 1,007 870 $47.50
82565 1,765 1,552 $46.70
J2250 Injection, midazolam hydrochloride, per 1 mg 6,877 5,985 $43.35
82947 900 748 $43.15
J7120 Ringers lactate infusion, up to 1000 cc 5,655 4,684 $38.48
86901 1,874 1,658 $38.15
J0696 Injection, ceftriaxone sodium, per 250 mg 4,213 3,577 $30.49
86900 1,878 1,658 $25.58
J1790 Injection, droperidol, up to 5 mg 892 832 $24.22
J1644 Injection, heparin sodium, per 1000 units 4,092 2,034 $23.94
80076 153 134 $22.39
85651 1,258 1,141 $21.95
85014 2,785 2,357 $21.61
J3480 Injection, potassium chloride, per 2 meq 659 400 $21.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,681 1,277 $20.56
J3475 Injection, magnesium sulfate, per 500 mg 1,178 976 $19.18
87205 3,024 2,735 $19.11
J2550 Injection, promethazine hcl, up to 50 mg 1,019 857 $16.16
94664 419 392 $15.32
J1650 Injection, enoxaparin sodium, 10 mg 1,782 803 $14.40
90471 2,495 2,307 $13.38
J3010 Injection, fentanyl citrate, 0.1 mg 7,628 6,666 $12.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,317 4,728 $11.19
J0780 Injection, prochlorperazine, up to 10 mg 770 676 $9.90
87807 285 275 $8.57
82272 551 488 $6.59
J3490 Unclassified drugs 158 117 $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 34 13 $4.32
J1815 Injection, insulin, per 5 units 506 317 $2.76
J0330 Injection, succinylcholine chloride, up to 20 mg 1,277 1,142 $1.16
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,472 1,310 $0.00
C1760 Closure device, vascular (implantable/insertable) 144 133 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 183 156 $0.00
87210 607 585 $0.00
82010 434 386 $0.00
C9113 Injection, pantoprazole sodium, per vial 1,509 1,069 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 35 30 $0.00
84100 1,194 944 $0.00
J1245 Injection, dipyridamole, per 10 mg 263 219 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,437 1,231 $0.00
J7030 Infusion, normal saline solution , 1000 cc 606 462 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 583 496 $0.00
82248 186 177 $0.00
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 164 52 $0.00
96413 203 166 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 152 118 $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 644 485 $0.00
C1729 Catheter, drainage 537 242 $0.00
82140 208 180 $0.00
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 132 52 $0.00
84520 73 53 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 235 224 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 564 439 $0.00
J1953 Injection, levetiracetam, 10 mg 33 28 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 132 104 $0.00
74300 110 104 $0.00
87045 14 14 $0.00
84295 50 36 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 55 53 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 40 32 $0.00
85347 20 13 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 78 72 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 17 17 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 79 65 $0.00
36600 23 21 $0.00
J1171 Injection, hydromorphone, 0.1 mg 25 20 $0.00
C1758 Catheter, ureteral 45 44 $0.00
89051 31 26 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 15 13 $0.00
97167 15 12 $0.00
87899 18 14 $0.00
87324 14 14 $0.00
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 37 30 $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 14 12 $0.00
82374 13 12 $0.00
C1769 Guide wire 1,810 1,568 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 273 260 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 192 174 $0.00
99153 Mod sedat endo service >5yrs 131 107 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 1,072 654 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 241 191 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,795 1,539 $0.00
82330 16 15 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 329 163 $0.00
77063 61 58 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 42 38 $0.00
A9585 Injection, gadobutrol, 0.1 ml 374 321 $0.00
88342 1,653 1,501 $0.00
J7999 Compounded drug, not otherwise classified 645 598 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 196 157 $0.00
J2704 Injection, propofol, 10 mg 2,357 2,131 $0.00
94760 1,718 1,080 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 334 266 $0.00
77001 13 12 $0.00
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 503 102 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 1,633 1,458 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 26 25 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 725 599 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 228 178 $0.00
80051 72 58 $0.00
87490 131 126 $0.00
76801 304 275 $0.00
36416 3,084 1,510 $0.00
J2785 Injection, regadenoson, 0.1 mg 205 179 $0.00
88311 454 389 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 56 49 $0.00
J1940 Injection, furosemide, up to 20 mg 176 104 $0.00
J0456 Injection, azithromycin, 500 mg 82 59 $0.00
J1630 Injection, haloperidol, up to 5 mg 120 110 $0.00
87015 236 196 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 62 41 $0.00
95886 12 12 $0.00
G0008 Administration of influenza virus vaccine 36 31 $0.00
70496 80 80 $0.00
82435 50 36 $0.00
85018 17 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 176 137 $0.00
J0280 Injection, aminophyllin, up to 250 mg 74 53 $0.00
90732 13 12 $0.00
86140 82 76 $0.00
99406 51 48 $0.00
C1889 Implantable/insertable device, not otherwise classified 23 23 $0.00
J7050 Infusion, normal saline solution, 250 cc 97 66 $0.00
76817 27 25 $0.00
87426 23 21 $0.00
73060 15 13 $0.00
76870 12 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 20 13 $0.00
88300 15 12 $0.00
82150 13 13 $0.00