Medicaid Provider Spending

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

PEDIATRIC SUBSPECIALTY NETWORK INC.

NPI: 1417175423 · SANTA BARBARA, CA 93105 · Pediatric Surgery Physician · NPI assigned 04/23/2007

$53K
Total Medicaid Paid
502
Total Claims
483
Beneficiaries
4
Codes Billed
2018-06
First Month
2022-10
Last Month

Provider Details

Authorized OfficialKESHEN, TAMIR (OWNER)
NPI Enumeration Date04/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $2K
2019 14 $3K
2020 65 $12K
2021 226 $22K
2022 165 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 123 119 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 138 137 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 183 174 $12K
99223 Prolong inpt eval add15 m 58 53 $5K