Medicaid Provider Spending

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

SURGICAL ASSOCIATES INC

NPI: 1366824161 · MODESTO, CA 95355 · Surgery Physician · NPI assigned 06/29/2015

$1.34M
Total Medicaid Paid
25,043
Total Claims
12,148
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTAM, TONY (OWNER)
NPI Enumeration Date06/29/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,537 $110K
2019 3,112 $140K
2020 4,044 $230K
2021 4,042 $234K
2022 5,426 $331K
2023 4,234 $250K
2024 1,648 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 13,629 4,112 $617K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,388 432 $166K
99223 Prolong inpt eval add15 m 1,790 1,765 $145K
99255 1,172 1,145 $106K
99239 Hospital discharge day management, more than 30 minutes 1,774 1,730 $99K
99356 2,219 1,254 $89K
99232 Subsequent hospital care, per day, moderate complexity 2,042 929 $77K
99231 Subsequent hospital care, per day, straightforward or low complexity 629 394 $17K
99254 145 140 $10K
47562 14 14 $5K
99253 73 71 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 129 123 $2K
99222 Initial hospital care, per day, moderate complexity 12 12 $672.12
99238 Hospital discharge day management, 30 minutes or less 15 15 $465.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $290.56