Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › PHOENIX › TOCA AT BANNER HEALTH LLC

TOCA AT BANNER HEALTH LLC

NPI: 1386270932 · PHOENIX, AZ 85012 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 03/16/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$534K
Total Medicaid Paid
10,357
Total Claims
9,845
Beneficiaries
27
Codes Billed
2020-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date03/16/2020

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $14.77M
NORTH COLORADO FAMILY MEDICINE GREELEY CO $5.11M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 470 $23K
2021 1,414 $77K
2022 2,561 $127K
2023 3,242 $170K
2024 2,670 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,169 1,135 $108K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,572 1,523 $101K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,065 1,950 $98K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,235 1,183 $81K
20610 541 459 $28K
20611 232 220 $20K
72110 442 427 $17K
73130 527 494 $16K
73564 437 422 $15K
73630 447 419 $13K
73110 363 336 $12K
73502 169 160 $6K
73030 250 241 $6K
95886 40 40 $3K
73610 97 91 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 515 500 $2K
64483 12 12 $978.47
73140 27 27 $898.57
72050 15 15 $756.89
73562 27 26 $700.64
72082 13 13 $691.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 13 12 $160.47
1160F 66 63 $0.04
1111F 43 38 $0.03
1159F 13 12 $0.00
3078F 12 12 $0.00
3074F 15 15 $0.00