Medicaid Provider Spending

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

1ST CARE MEDICAL CLINIC

NPI: 1407805088 · PHOENIX, AZ 85021 · Family Medicine Physician · NPI assigned 05/09/2006

$6.42M
Total Medicaid Paid
103,325
Total Claims
84,922
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOLOUI, SHAWN (PRESIDENT / OWNER)
NPI Enumeration Date05/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,068 $607K
2019 13,289 $579K
2020 11,108 $544K
2021 18,907 $1.08M
2022 13,702 $898K
2023 15,269 $994K
2024 17,982 $1.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,918 31,749 $2.66M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,322 23,703 $1.48M
95144 3,734 427 $505K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,805 356 $425K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,800 3,744 $401K
99215 Prolong outpt/office vis 2,128 1,974 $212K
95923 937 903 $95K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 395 388 $84K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,930 5,216 $75K
95921 929 898 $63K
95816 185 88 $39K
93922 550 534 $36K
93923 310 295 $31K
99457 808 768 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 328 321 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,612 1,539 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 289 282 $24K
92546 275 209 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 246 245 $18K
99454 482 461 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 226 225 $17K
99458 520 452 $14K
99205 Prolong outpt/office vis 91 89 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 118 116 $10K
20611 136 70 $9K
92540 110 105 $9K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 5,167 4,579 $9K
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails 119 112 $7K
90658 589 550 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 165 163 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 388 250 $5K
0012A 157 150 $5K
G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education 90 89 $5K
95117 513 308 $5K
0011A 155 147 $4K
99385 42 42 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 122 112 $3K
0064A 77 70 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 23 16 $3K
96112 29 13 $2K
92551 248 241 $2K
90472 Immunization administration, each additional vaccine (list separately) 97 89 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 88 86 $2K
96132 20 20 $2K
92547 199 191 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 111 101 $1K
90686 811 689 $786.65
99453 58 57 $777.59
99173 154 151 $361.74
36415 Collection of venous blood by venipuncture 28 28 $206.70
82962 119 102 $186.12
G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education 15 13 $99.16
J1030 Injection, methylprednisolone acetate, 40 mg 15 13 $78.31
81002 14 14 $35.68
97802 15 13 $24.48
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,513 1,356 $0.00