Medicaid Provider Spending

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

DENGA, PEDRO

NPI: 1417297037 · PHOENIX, AZ 85037 · Contractor · NPI assigned 02/19/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

91% of spending on code S0215 with only 3 total codes billed. Highly concentrated billing profile.

$20.58M
Total Medicaid Paid
255,884
Total Claims
57,642
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58,055 $4.57M
2019 142,954 $11.26M
2020 54,411 $4.71M
2021 464 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0215 Non-emergency transportation; mileage, per mile 124,875 27,148 $18.68M
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 124,842 27,147 $1.82M
T2007 Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments 6,167 3,347 $84K