Medicaid Provider Spending

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

HEALTH EXCEL IPA, INC.

NPI: 1376031161 · LA JOLLA, CA 92037 · Colon & Rectal Surgery Physician · NPI assigned 04/26/2018

$441K
Total Medicaid Paid
26,954
Total Claims
21,945
Beneficiaries
91
Codes Billed
2020-02
First Month
2021-08
Last Month

Provider Details

Authorized OfficialSOUNHEIN, THOMAS (CEO)
NPI Enumeration Date04/26/2018

Related Entities

Other providers sharing the same authorized official: SOUNHEIN, THOMAS

ProviderCityStateTotal Paid
XIMED HOSPITALISTS, INC. LA JOLLA CA $880K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 8,799 $148K
2021 18,155 $293K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 946 776 $74K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,161 345 $39K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,102 355 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,721 558 $32K
77067 Screening mammography, bilateral, including computer-aided detection 236 236 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 596 530 $21K
84443 Thyroid stimulating hormone (TSH) 1,487 1,473 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 591 570 $16K
80061 Lipid panel 1,502 1,494 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 572 553 $16K
80053 Comprehensive metabolic panel 1,967 1,879 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 738 222 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 673 592 $13K
J3490 Unclassified drugs 13 12 $12K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 620 617 $12K
97010 937 274 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,827 1,745 $9K
97163 58 58 $9K
83036 Hemoglobin; glycosylated (A1C) 991 984 $6K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 263 263 $6K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 186 186 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 68 63 $4K
97164 26 25 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 134 134 $3K
86803 203 203 $2K
84439 401 399 $2K
99072 943 894 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $2K
87086 Culture, bacterial; quantitative colony count, urine 243 235 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 26 26 $1K
76830 Ultrasound, transvaginal 25 25 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 57 $1K
81001 520 510 $1K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 68 57 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $915.20
76642 12 12 $799.90
82607 85 85 $714.09
87340 95 95 $693.22
97014 46 12 $666.08
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 129 39 $647.15
A7038 Filter, disposable, used with positive airway pressure device 88 88 $537.91
86592 148 148 $465.41
A9585 Injection, gadobutrol, 0.1 ml 23 13 $449.28
71046 Radiologic examination, chest; 2 views 25 24 $447.27
99401 46 40 $427.02
84153 30 30 $407.91
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 296 195 $381.25
82274 34 34 $363.49
99215 Prolong outpt/office vis 131 105 $343.20
82043 81 79 $330.30
96156 16 16 $325.00
82746 33 33 $259.63
90686 13 13 $258.39
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 26 $258.06
87088 33 31 $199.57
96160 70 70 $191.25
83540 44 43 $183.44
G0444 Annual depression screening, 5 to 15 minutes 13 12 $177.76
85652 84 83 $171.73
81003 107 107 $143.20
82728 14 13 $130.80
82570 26 25 $85.28
84436 14 14 $84.42
83550 18 17 $82.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 12 $65.21
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $62.44
85027 17 17 $46.53
92015 Determination of refractive state 12 12 $32.04
81002 14 13 $30.10
83735 16 14 $14.98
83690 13 13 $13.20
36415 Collection of venous blood by venipuncture 1,998 1,922 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 51 51 $0.00
1111F 263 243 $0.00
3008F 363 344 $0.00
1036F 164 161 $0.00
7025F 220 220 $0.00
3341F 12 12 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 232 217 $0.00
1126F 89 86 $0.00
3074F 174 165 $0.00
98961 127 114 $0.00
99205 Prolong outpt/office vis 28 28 $0.00
1220F 28 28 $0.00
1125F 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 30 29 $0.00
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 13 13 $0.00
3078F 158 150 $0.00
99051 97 94 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 59 58 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $0.00