Medicaid Provider Spending

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

PONS PHYSICIAN SERVICES, PLLC

NPI: 1457732554 · CORTLAND, NY 13045 · Emergency Medicine Physician · NPI assigned 06/15/2015

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

Authorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more

$173K
Total Medicaid Paid
5,381
Total Claims
2,815
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWILLIAMS, FRANK (CEO)
NPI Enumeration Date06/15/2015

Related Entities

Other providers sharing the same authorized official: WILLIAMS, FRANK

ProviderCityStateTotal Paid
WINDSOR PUBLIC SCHOOL WINDSOR CT $1.36M
FOCUS POINTE COUNSELING SOLUTIONS, INC. OKLAHOMA CITY OK $1.33M
BUTLER COUNTY CLERK EL DORADO KS $863K
HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA, PLLC LAWTON OK $812K
HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC TROY OH $779K
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC JOPLIN MO $775K
HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC SALEM OR $653K
NAUTILUS HEALTH CARE GROUP LLC MELBOURNE FL $649K
HEALOGICS SPECIALTY PHYSICIANS OF TENNESSEE, PLLC CLARKSVILLE TN $517K
HEALOGICS SPECIALTY PHYSICIANS OF MISSISSIPPI, LLC NATCHEZ MS $433K
HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA, LLC FREDERICKSBURG VA $397K
HEALOGICS SPECIALTY PHYSICIANS OF MASSACHUSETTS, PLLC HOLYOKE MA $356K
HEALOGICS SPECIALTY PHYSICIANS OF MARYLAND, LLC LEONARDTOWN MD $347K
HEALOGICS SPECIALTY PHYSICIANS OF ARKANSAS, PLLC FAYETTEVILLE AR $332K
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC MYRTLE BEACH SC $279K
HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC ALLEN TX $266K
HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC LAKE CHARLES LA $224K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC PARKER CO $208K
HEALOGICS SPECIALTY PHYSICIANS OF WEST VIRGINIA, PLLC LOGAN WV $145K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC LAKEWOOD CO $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 318 $12K
2019 729 $28K
2020 361 $14K
2021 888 $26K
2022 1,081 $27K
2023 1,491 $51K
2024 513 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,330 2,160 $140K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 656 404 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 260 169 $7K
99215 Prolong outpt/office vis 24 15 $2K
97597 65 41 $979.03
99406 46 26 $82.23