Medicaid Provider Spending

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

DHHS IHS PHOENIX AREA

NPI: 1356628028 · POLACCA, AZ 86042 · Social Worker · NPI assigned 11/09/2011

$29.91M
Total Medicaid Paid
69,255
Total Claims
51,490
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMELVIN, DARYL (CEO)
NPI Enumeration Date11/09/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,640 $1.22M
2019 13,183 $4.05M
2020 11,048 $4.28M
2021 11,473 $4.96M
2022 10,994 $5.77M
2023 8,364 $4.88M
2024 7,553 $4.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 55,835 39,163 $25.62M
99441 8,027 7,369 $4.17M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,815 1,758 $67K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 834 553 $16K
71046 Radiologic examination, chest; 2 views 1,135 1,121 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 50 39 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57 56 $6K
99283 Emergency department visit for the evaluation and management, moderate severity 124 121 $3K
70450 Computed tomography, head or brain; without contrast material 42 42 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 50 50 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 94 36 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material 14 12 $1K
71045 Radiologic examination, chest; single view 117 114 $846.10
90686 28 28 $436.24
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $310.56
99282 Emergency department visit for the evaluation and management, low to moderate severity 13 13 $221.27
97530 Therapeutic activities, direct patient contact, each 15 minutes 12 12 $191.80
98966 12 12 $35.67
90656 15 15 $0.01
90653 94 94 $0.00
91312 16 16 $0.00
91320 21 21 $0.00
0124A 16 16 $0.00
90662 14 14 $0.00
G0008 Administration of influenza virus vaccine 442 442 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 229 229 $0.00
90688 72 72 $0.00
97535 Self-care/home management training, each 15 minutes 29 24 $0.00
90694 15 15 $0.00
90480 21 21 $0.00