Medicaid Provider Spending

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

ESCALERA HEALTH LLC

NPI: 1487146171 · TUCSON, AZ 85712 · Psychiatry Physician · NPI assigned 05/30/2018

$4.97M
Total Medicaid Paid
62,973
Total Claims
44,754
Beneficiaries
30
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUDSON, EDWARD (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date05/30/2018

Related Entities

Other providers sharing the same authorized official: HUDSON, EDWARD

ProviderCityStateTotal Paid
SUNBELT MEDICAL GROUP LLC TUCSON AZ $425K
ESCALERA HEALTH, LLC TUCSON AZ $316K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 140 $7K
2019 4,215 $231K
2020 9,471 $650K
2021 11,468 $879K
2022 11,500 $769K
2023 12,084 $1.05M
2024 14,095 $1.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 14,985 6,685 $1.40M
99222 Initial hospital care, per day, moderate complexity 8,324 8,078 $815K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,086 8,687 $555K
H0004 Behavioral health counseling and therapy, per 15 minutes 8,458 3,822 $534K
99223 Prolong inpt eval add15 m 3,969 3,882 $509K
H0031 Mental health assessment, by non-physician 3,053 2,828 $309K
99215 Prolong outpt/office vis 4,302 3,719 $305K
99232 Subsequent hospital care, per day, moderate complexity 4,890 3,029 $288K
99233 Prolong inpt eval add15 m 1,644 1,125 $120K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 985 899 $41K
90834 Psychotherapy, 45 minutes with patient 502 426 $37K
90832 Psychotherapy, 30 minutes with patient 261 215 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 236 234 $14K
90792 Psychiatric diagnostic evaluation with medical services 133 129 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 96 89 $8K
99205 Prolong outpt/office vis 39 35 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 131 70 $3K
99490 Ccm add 20min 359 350 $3K
99238 Hospital discharge day management, 30 minutes or less 43 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 43 $2K
99385 14 14 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $1K
T1016 Case management, each 15 minutes 163 140 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 73 66 $930.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62 45 $554.66
90682 25 13 $232.23
99000 21 21 $103.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $29.96
99406 33 32 $20.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 13 $0.00