Medicaid Provider Spending

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

CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

NPI: 1326585662 · PHOENIX, AZ 85037 · Addiction Medicine (Internal Medicine) Physician · NPI assigned 01/25/2017

$2.42M
Total Medicaid Paid
89,718
Total Claims
43,055
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHUTCHISON, ROBERT (CFO)
NPI Enumeration Date01/25/2017

Related Entities

Other providers sharing the same authorized official: HUTCHISON, ROBERT

ProviderCityStateTotal Paid
CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC HARTFORD CT $730K
ROBERT W HUTCHISON, DPM, LLC UNION NJ $174K
CLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC JACKSONVILLE FL $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,496 $368K
2019 28,001 $579K
2020 17,299 $516K
2021 9,773 $509K
2022 4,100 $247K
2023 2,661 $174K
2024 388 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,820 11,374 $1.05M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 21,855 12,428 $626K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,111 8,183 $442K
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 4,638 3,497 $249K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 350 290 $29K
81025 2,791 2,018 $9K
99484 445 289 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 97 79 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 192 159 $4K
86803 345 280 $3K
87340 326 266 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 64 43 $900.77
80305 313 225 $411.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 24 $345.66
99000 21,953 2,915 $38.18
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 303 228 $22.74
Q3014 Telehealth originating site facility fee 409 330 $10.66
99406 648 402 $5.16
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 14 12 $0.00
T1016 Case management, each 15 minutes 13 13 $0.00