SUNDANCE PHYSICIAN SERVICES, INC
NPI: 1326490889
· AUSTIN, TX 78735
· Emergency Medicine Physician
· NPI assigned 07/08/2016
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | CARLETTI, RYAN (VP OF OPERATIONS) |
| NPI Enumeration Date | 07/08/2016 |
Related Entities
Other providers sharing the same authorized official: CARLETTI, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
311 |
$4K |
| 2019 |
181 |
$3K |
| 2020 |
384 |
$15K |
| 2021 |
1,886 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
947 |
906 |
$54K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,108 |
1,075 |
$43K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
284 |
275 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
77 |
39 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
346 |
303 |
$821.73 |