Medicaid Provider Spending

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

CANYON MEDICAL CLINIC LLC

NPI: 1356834642 · BLACK CANYON CITY, AZ 85324 · Family Medicine Physician · NPI assigned 06/11/2018

$54K
Total Medicaid Paid
1,185
Total Claims
737
Beneficiaries
4
Codes Billed
2019-08
First Month
2022-10
Last Month

Provider Details

Authorized OfficialMOTL, JOSHUA (PHYSICIAN ASSISTANT)
NPI Enumeration Date06/11/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 97 $2K
2020 150 $3K
2021 509 $25K
2022 429 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 936 539 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 222 173 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $858.57
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 12 $307.86