Medicaid Provider Spending

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

EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC

NPI: 1487602736 · TUCSON, AZ 85745 · 261QF0400X

$360.32M
Total Medicaid Paid
4,351,444
Total Claims
3,636,486
Beneficiaries
347
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 613,374 $40.25M
2019 643,299 $36.43M
2020 368,929 $29.03M
2021 466,311 $35.85M
2022 765,662 $64.50M
2023 792,297 $74.26M
2024 701,572 $80.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 1,241,179 957,066 $357.76M
99214 398,770 343,100 $472K
99238 5,622 5,509 $336K
59409 288 282 $240K
99213 406,359 349,683 $222K
99460 3,303 3,208 $214K
T1016 Case management 16,664 12,768 $194K
99233 Prolong inpt eval add15 m 3,403 1,295 $192K
99231 3,999 3,145 $130K
99232 2,644 1,067 $103K
99239 750 701 $38K
59514 26 26 $24K
90471 123,559 111,285 $23K
99204 5,310 5,123 $21K
H0031 Mh health assess by non-md 6,058 5,820 $21K
90837 14,251 9,373 $20K
90750 7,338 6,982 $19K
99215 Prolong outpt/office vis 10,556 9,719 $14K
90792 3,670 3,593 $14K
99391 41,279 34,830 $14K
96156 17,171 15,779 $12K
90834 10,417 7,953 $10K
99395 20,045 18,003 $10K
99396 17,855 16,163 $9K
99392 30,581 26,388 $9K
H0004 Alcohol and/or drug services 11,359 6,470 $8K
99385 2,845 2,523 $8K
99203 6,320 5,854 $8K
90686 60,336 52,774 $7K
0124A 5,989 5,552 $6K
90670 20,883 17,834 $6K
99212 43,272 32,757 $6K
90460 60,332 55,545 $6K
97110 13,165 7,703 $5K
90715 19,562 18,002 $5K
99000 2,829 2,732 $5K
99393 30,169 26,052 $5K
90461 30,795 27,672 $4K
90791 1,734 1,683 $4K
G0467 Fqhc visit, estab pt 14,600 11,610 $4K
99221 68 64 $4K
99394 20,464 17,261 $4K
97803 5,833 5,115 $3K
87491 4,687 4,474 $3K
0072A 2,964 2,740 $3K
90472 40,371 35,581 $3K
80061 6,751 6,576 $3K
90651 11,414 9,965 $3K
99381 3,945 3,620 $3K
97802 5,851 5,654 $2K
87389 3,354 3,218 $2K
0071A 1,379 1,273 $2K
99223 Prolong inpt eval add15 m 26 25 $2K
87591 3,353 3,188 $2K
99462 76 67 $2K
G2025 Dis site tele svcs rhc/fqhc 2,515 2,146 $2K
77067 3,187 3,110 $2K
99386 1,215 1,115 $2K
36415 61,933 57,944 $2K
80053 6,060 5,831 $2K
76856 1,281 1,244 $2K
0012A 1,914 1,901 $2K
90716 11,092 9,531 $2K
76700 457 445 $2K
99383 1,307 1,108 $2K
90734 6,536 5,528 $2K
90677 5,291 5,028 $2K
76830 1,068 1,038 $2K
85025 7,212 6,943 $1K
97140 10,964 6,209 $1K
96158 3,200 2,900 $1K
97530 3,653 2,740 $1K
90688 16,595 13,975 $1K
90620 5,900 5,029 $1K
96152 6,139 4,939 $1K
90732 827 709 $1K
H0038 Self-help/peer svc per 15min 735 398 $1K
83036 6,944 6,779 $1K
G0511 Ccm/bhi by rhc/fqhc 20min mo 3,182 3,093 $1K
0011A 1,914 1,871 $1K
99382 189 167 $1K
90723 15,250 13,078 $1K
99463 14 14 $1K
99384 644 544 $1K
96372 8,552 7,712 $1K
97112 5,198 3,325 $1K
98927 373 332 $974.43
90707 10,687 9,176 $972.65
0001A 3,719 3,545 $880.00
90746 1,211 1,111 $866.89
76642 1,099 1,067 $842.90
0054A 1,008 919 $840.00
99202 938 824 $828.71
90681 9,489 8,128 $815.56
76815 377 260 $783.91
84443 2,738 2,662 $696.97
77066 Tomosynthesis, mammo 256 251 $690.05
0051A 868 788 $680.00
80050 1,194 1,177 $666.36
71046 4,036 3,879 $630.28
0004A 4,590 4,143 $588.60
90647 20,192 17,322 $558.56
0002A 3,530 3,427 $520.00
0052A 19 18 $520.00
0031A 514 509 $517.95
99441 106 101 $501.20
99442 186 165 $490.26
90632 424 386 $465.96
86803 1,946 1,888 $423.13
92227 1,470 1,409 $390.24
76536 37 36 $388.10
59025 2,949 1,298 $378.57
J1050 Medroxyprogesterone acetate 3,287 3,130 $363.14
81003 23,438 19,083 $350.79
H2011 Crisis interven svc, 15 min 155 138 $347.40
76817 712 624 $331.74
94640 2,210 1,801 $325.96
91303 204 200 $317.95
77063 3,379 3,157 $312.38
96167 92 79 $303.62
99244 139 130 $288.42
1159F 95,217 80,373 $284.24
G0008 Admin influenza virus vac 4,245 3,890 $265.33
99177 27,810 24,014 $263.40
D7210 2,003 1,204 $232.88
90633 11,262 9,692 $219.00
76705 70 68 $218.04
92551 30,468 26,336 $216.58
96154 4,813 3,877 $179.31
G0438 Ppps, initial visit 29 27 $171.98
82247 569 454 $169.69
D0140 16,152 13,364 $162.00
90832 2,886 2,355 $161.58
81025 16,194 14,879 $154.44
90853 38 12 $148.96
73564 197 181 $140.56
86592 2,009 1,915 $139.95
G0439 Ppps, subseq visit 1,119 1,019 $134.60
82248 459 394 $129.87
90662 2,618 2,379 $124.00
99051 28,737 25,915 $115.22
36416 1,171 1,143 $104.10
73030 395 355 $103.88
92014 307 283 $97.41
90696 3,345 2,803 $88.88
80048 2,285 2,201 $87.60
81001 2,312 2,215 $84.84
99173 23,113 19,897 $71.50
H0002 Alcohol and/or drug screenin 228 221 $68.07
87088 1,671 1,603 $66.23
73630 128 119 $66.13
99397 511 403 $64.94
96150 2,132 1,823 $64.85
73610 31 28 $63.86
D0220 18,483 15,606 $62.00
85610 2,052 1,261 $61.64
82962 2,915 2,543 $61.64
58300 1,359 1,295 $58.26
96110 3,359 2,974 $53.42
86580 1,677 1,430 $46.18
87800 526 507 $45.57
93000 1,757 1,644 $44.70
20610 185 166 $34.30
90474 3,421 3,035 $31.07
82043 1,667 1,625 $26.80
86706 392 378 $25.40
84436 600 588 $23.81
87480 874 863 $23.71
87340 619 603 $22.50
G0108 Diab manage trn per indiv 346 322 $22.14
87070 1,155 1,126 $21.04
87186 480 459 $20.04
80076 387 365 $19.32
82728 477 468 $15.48
87880 9,603 8,955 $14.88
85652 475 460 $9.63
83540 482 475 $7.35
82950 399 392 $5.61
J1885 Ketorolac tromethamine inj 1,205 1,105 $4.88
J1100 Dexamethasone sodium phos 490 415 $1.35
J7620 Albuterol ipratrop non-comp 916 778 $0.14
1036F 311,568 258,607 $0.09
1220F 134,296 118,185 $0.06
J7613 Albuterol non-comp unit 412 343 $0.04
96127 11,052 9,498 $0.02
1158F 14,019 12,518 $0.01
1003F 1,585 1,429 $0.01
91300 7,635 6,894 $0.01
1125F 27,478 23,892 $0.01
1101F 5,375 4,781 $0.01
1126F 30,272 25,901 $0.01
1157F 7,926 6,746 $0.01
91320 5,659 5,520 $0.00
90682 332 268 $0.00
3077F 11,715 10,829 $0.00
J3301 Triamcinolone acet inj nos 989 917 $0.00
D2930 1,524 699 $0.00
90713 1,835 1,647 $0.00
87481 138 134 $0.00
84460 131 130 $0.00
91312 3,585 3,413 $0.00
D0190 15,379 13,590 $0.00
D0330 2,968 2,721 $0.00
3078F 24,738 22,691 $0.00
90473 1,620 1,285 $0.00
1160F 26,721 23,396 $0.00
D0274 3,114 2,912 $0.00
Q0091 Obtaining screen pap smear 113 105 $0.00
11982 167 158 $0.00
2028F 750 696 $0.00
87804 2,638 2,576 $0.00
D1120 11,859 10,855 $0.00
86705 182 176 $0.00
G0470 Fqhc visit, mh estab pt 477 289 $0.00
98968 538 488 $0.00
97161 1,121 1,115 $0.00
90700 5,459 4,745 $0.00
D0270 4,054 3,216 $0.00
91308 660 590 $0.00
4004F 1,264 1,130 $0.00
80305 207 155 $0.00
J7307 Etonogestrel implant system 726 679 $0.00
81002 7,019 5,201 $0.00
2024F 1,348 1,314 $0.00
96153 632 287 $0.00
D9230 2,275 1,810 $0.00
D1110 2,479 2,290 $0.00
90678 77 77 $0.00
87660 789 779 $0.00
1090F 95 76 $0.00
G0468 Fqhc visit, ippe or awv 357 314 $0.00
D2391 2,078 1,311 $0.00
D0145 946 875 $0.00
D1354 4,384 1,381 $0.00
11981 498 476 $0.00
0003A 180 154 $0.00
1100F 152 125 $0.00
72100 258 248 $0.00
90685 1,175 1,161 $0.00
70355 53 53 $0.00
90648 103 86 $0.00
3046F 140 104 $0.00
77062 132 125 $0.00
3051F 76 68 $0.00
84450 118 117 $0.00
73130 28 26 $0.00
0073A 35 32 $0.00
0502F 212 161 $0.00
G0466 Fqhc visit new patient 61 58 $0.00
82947 74 72 $0.00
73562 45 40 $0.00
J7297 Liletta, 52 mg 51 50 $0.00
77065 Tomosynthesis, mammo 59 57 $0.00
99201 85 77 $0.00
80074 13 13 $0.00
0053A 147 134 $0.00
76805 27 27 $0.00
99211 124 105 $0.00
87210 32 31 $0.00
86431 174 171 $0.00
82565 12 12 $0.00
S0119 Ondansetron 4 mg 13 13 $0.00
4040F 17 17 $0.00
73110 14 12 $0.00
95004 49 33 $0.00
76770 16 15 $0.00
84550 14 14 $0.00
82570 14 12 $0.00
98926 30 26 $0.00
D2740 23 13 $0.00
97039 19 18 $0.00
92228 671 637 $0.00
D0272 6,941 6,334 $0.00
D1206 24,664 22,140 $0.00
D0230 3,798 2,592 $0.00
3075F 12,972 12,378 $0.00
3074F 24,588 22,690 $0.00
92004 99 93 $0.00
90480 8,378 8,194 $0.00
58100 360 349 $0.00
D0150 2,910 2,617 $0.00
0154A 559 516 $0.00
3079F 18,447 17,356 $0.00
D0120 9,929 9,128 $0.00
D0603 1,529 1,482 $0.00
91301 997 968 $0.00
90619 1,080 1,035 $0.00
90656 5,092 4,999 $0.00
D0240 5,010 1,727 $0.00
3080F 5,203 4,865 $0.00
D2392 1,980 1,246 $0.00
D7140 8,285 4,510 $0.00
0081A 579 492 $0.00
91319 147 144 $0.00
87081 1,149 1,116 $0.00
D1351 6,346 1,691 $0.00
99417 Prolong home eval add 15m 241 223 $0.00
88720 609 488 $0.00
D1310 2,125 1,991 $0.00
96151 130 98 $0.00
98967 56 54 $0.00
90674 15 14 $0.00
91315 187 177 $0.00
91307 2,901 2,573 $0.00
D1330 2,182 2,043 $0.00
97162 151 145 $0.00
87807 125 118 $0.00
G0009 Admin pneumococcal vaccine 331 275 $0.00
58301 265 257 $0.00
0082A 397 365 $0.00
91305 718 673 $0.00
87510 765 756 $0.00
3044F 186 154 $0.00
J7298 Mirena, 52 mg 38 37 $0.00
83735 220 216 $0.00
94010 47 32 $0.00
76801 398 383 $0.00
85027 93 92 $0.00
84153 104 103 $0.00
96164 87 77 $0.00
3008F 399 345 $0.00
90739 302 297 $0.00
83550 185 177 $0.00
80055 177 172 $0.00
4037F 92 82 $0.00
87511 152 148 $0.00
83001 51 51 $0.00
90744 30 25 $0.00
87661 568 539 $0.00
0173A 124 119 $0.00
57454 96 88 $0.00
80081 175 175 $0.00
D0602 197 196 $0.00
J2001 Lidocaine injection 39 39 $0.00
91318 72 69 $0.00
90847 33 30 $0.00
3052F 17 16 $0.00
D0210 104 95 $0.00
82550 14 14 $0.00
D0601 198 193 $0.00
97016 12 12 $0.00
J0696 Ceftriaxone sodium injection 31 26 $0.00
82150 12 12 $0.00
96161 12 12 $0.00
73502 15 15 $0.00
97014 19 12 $0.00
82040 13 12 $0.00