Medicaid Provider Spending

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

BANNER HEALTH PHYSICIANS WEST LLC

NPI: 1427314186 · FALLON, NV 89406 · Multi-Specialty Clinic/Center · NPI assigned 04/06/2012

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

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

$233K
Total Medicaid Paid
4,267
Total Claims
3,814
Beneficiaries
26
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO BMG)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date04/06/2012

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
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
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
2018 4,267 $233K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,514 1,248 $104K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,134 1,014 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 266 232 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 178 175 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 146 146 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 252 251 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 106 93 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 13 $2K
98929 17 14 $1K
99381 13 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $272.98
83036 Hemoglobin; glycosylated (A1C) 59 54 $205.22
90474 12 12 $132.12
96127 57 56 $110.67
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $98.16
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $96.20
81025 15 15 $64.80
88720 12 12 $34.20
90647 49 49 $0.00
99406 20 18 $0.00
90723 36 36 $0.00
90680 18 18 $0.00
90461 211 211 $0.00
90670 69 68 $0.00
90700 15 15 $0.00
90633 12 12 $0.00