Medicaid Provider Spending

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

MARK MALONE MD PA

NPI: 1407057250 · ROUND ROCK, TX 78664 · Anesthesiology Physician · NPI assigned 05/30/2007

$1.27M
Total Medicaid Paid
51,058
Total Claims
48,305
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSONS, CHRISTINA (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date05/30/2007

Related Entities

Other providers sharing the same authorized official: SONS, CHRISTINA

ProviderCityStateTotal Paid
ROUND ROCK SURGERY CENTER LLC ROUND ROCK TX $2K
APC-AMARILLO SURGICAL OPERATING COMPANY, LLC AMARILLO TX $384.35

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,701 $34K
2019 8,222 $49K
2020 5,249 $45K
2021 6,193 $170K
2022 8,364 $321K
2023 9,560 $454K
2024 4,769 $192K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,441 26,562 $1.04M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,834 9,453 $125K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 5,709 5,547 $49K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 932 894 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,815 1,769 $12K
99442 191 186 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 78 68 $4K
01936 97 91 $3K
99215 Prolong outpt/office vis 26 25 $1K
01992 13 13 $1K
99443 14 13 $1K
99406 138 118 $368.94
96127 1,743 1,669 $362.35
90791 Psychiatric diagnostic evaluation 12 12 $359.09
J1030 Injection, methylprednisolone acetate, 40 mg 50 50 $78.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 936 849 $72.89
99490 Ccm add 20min 196 196 $24.92
80363 17 16 $17.83
80361 17 16 $14.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg 42 40 $14.28
83992 17 16 $14.11
80348 17 16 $13.74
80346 17 16 $13.53
80356 17 16 $13.36
80354 17 16 $12.81
80365 17 16 $11.91
80349 17 16 $11.27
80358 17 16 $11.02
80325 17 16 $10.92
80372 17 16 $10.62
80367 17 16 $10.51
80373 17 16 $10.33
80357 17 16 $10.33
80353 17 16 $10.25
80370 17 16 $9.90
80360 17 16 $9.11
80368 17 16 $8.82
80359 17 16 $8.50
80355 15 14 $7.71
80366 15 14 $6.93
J3010 Injection, fentanyl citrate, 0.1 mg 28 27 $2.93
J2250 Injection, midazolam hydrochloride, per 1 mg 166 160 $1.27
72100 12 12 $0.00
G9655 A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used 95 89 $0.00
G9656 Patient transferred directly from anesthetizing location to pacu or other non-icu location 95 89 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 13 13 $0.00