Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Tucson › NPI 1538535158
Physician

SMSJ Tucson Holdings LLC

SMSJ Tucson Holdings LLC was paid $28.93M by Medicaid between Jan 2018 and Dec 2024, across 267 billing codes. Its largest line is 99284, emergency room visit (serious) — 24% of everything it billed.

33Billing provider infoSMSJ TUCSON HOLDINGS LLC
TUCSON, AZ 85711
33aNPI1538535158assigned 08/18/2015
28Total paid$28.93M
24GClaims832,261
24DCodes billed267
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in Arizona

Rank by total paid#3 of 132
Median peer was paid$6K
This provider vs. median4,475×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018152,039$4.27M
2019148,768$4.24M
2020114,214$4.13M
2021129,216$4.37M
2022121,987$4.36M
202392,244$4.15M
2024incomplete73,793$3.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 24% 31,386 28,048 $7.02M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 19% 27,911 25,358 $5.38M
74177 Computed tomography, abdomen and pelvis; with contrast material 11% 6,159 5,610 $3.06M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.7% 13,292 11,986 $2.50M
70450 Computed tomography, head or brain; without contrast material 5.1% 8,496 7,609 $1.47M
74176 Computed tomography, abdomen and pelvis; without contrast material 3.9% 2,634 2,420 $1.12M
72125 Computed tomography, cervical spine; without contrast material 2.4% 3,407 3,077 $698K
71260 Computed tomography, thorax, diagnostic; with contrast material 2.1% 2,868 2,580 $615K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 12,789 4,549 $594K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.9% 1,486 1,355 $552K
G0378 Hospital observation service, per hour 1.9% 7,529 4,092 $547K
96361 Intravenous infusion, hydration; each additional hour 1.8% 15,901 12,269 $520K
255 more codes
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1.4% 388 $410K
C1781 Mesh (implantable) 1.4% 247 $399K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 4,421 $374K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.3% 7,370 $371K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 3,942 $319K
59025 Fetal non-stress test 1.0% 2,276 $291K
97162 <1% 2,234 $189K
70486 <1% 931 $134K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,423 $132K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 114 $124K
72131 <1% 1,538 $114K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,224 $106K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 9,957 $106K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,631 $104K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 947 $100K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 529 $83K
67040 <1% 48 $79K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 224 $76K
36224 <1% 12 $74K
70498 <1% 304 $63K
73564 <1% 1,599 $61K
47562 <1% 13 $61K
58571 <1% 14 $58K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 40 $56K
97116 <1% 3,797 $54K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 560 $53K
97597 <1% 870 $52K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,305 $49K
93798 <1% 560 $44K
95812 <1% 240 $42K
73030 <1% 1,036 $38K
97535 Self-care/home management training, each 15 minutes <1% 2,540 $36K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 86 $34K
67113 <1% 13 $30K
97161 <1% 1,206 $30K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 400 $27K
10060 <1% 116 $25K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 11,398 $23K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,287 $23K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,709 $21K
36410 <1% 511 $21K
72128 <1% 1,114 $21K
12001 <1% 110 $19K
93971 <1% 1,092 $19K
97113 <1% 726 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 603 $17K
80053 Comprehensive metabolic panel <1% 45,726 $17K
99213 Doctor's office visit, returning patient (routine) <1% 1,665 $15K
87070 <1% 3,380 $14K
71045 Radiologic examination, chest; single view <1% 15,170 $13K
71250 <1% 166 $11K
96375 Therapeutic injection; each additional sequential IV push <1% 13,621 $9K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) <1% 27 $9K
29125 <1% 60 $9K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 118 $8K
71046 Radiologic examination, chest; 2 views <1% 4,943 $8K
73130 <1% 1,223 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,217 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $8K
96376 <1% 5,181 $7K
73630 <1% 1,181 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,428 $7K
95811 <1% 15 $7K
97166 <1% 145 $6K
12002 <1% 56 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,152 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 5,059 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 227 $5K
73110 <1% 366 $5K
84484 <1% 15,242 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,301 $4K
88313 <1% 769 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 341 $4K
92540 <1% 12 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 24 $3K
76801 <1% 804 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 18,003 $3K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 2,875 $3K
97163 <1% 15 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 49,843 $2K
36430 <1% 28 $2K
80320 <1% 3,887 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 134 $2K
73610 <1% 933 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 7,001 $2K
80143 <1% 1,102 $2K
84702 <1% 2,809 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 927 $2K
86850 <1% 3,573 $1K
87040 <1% 2,563 $1K
P9016 Red blood cells, leukocytes reduced, each unit <1% 17 $1K
81002 <1% 5,012 $1K
72100 <1% 57 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,701 $1K
C1769 Guide wire <1% 1,601 $1K
89060 <1% 145 $947.72
88307 <1% 621 $894.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,013 $779.80
81001 <1% 19,989 $725.55
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,034 $691.66
82948 <1% 11,880 $665.43
87088 <1% 5,948 $583.43
99203 Doctor's office visit, new patient (routine) <1% 123 $488.18
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,338 $482.82
83036 Hemoglobin; glycosylated (A1C) <1% 2,844 $358.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $348.84
J7120 Ringers lactate infusion, up to 1000 cc <1% 10,455 $337.05
81025 <1% 11,605 $326.59
82803 <1% 161 $302.69
83735 <1% 24,980 $287.08
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,343 $255.84
87073 <1% 1,061 $238.94
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,796 $233.09
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 18,919 $224.34
83690 <1% 12,420 $213.31
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,834 $199.27
76830 Ultrasound, transvaginal <1% 288 $185.96
84443 Thyroid stimulating hormone (TSH) <1% 3,393 $162.89
J2270 Injection, morphine sulfate, up to 10 mg <1% 8,448 $161.16
J1644 Injection, heparin sodium, per 1000 units <1% 2,781 $160.80
84132 <1% 1,128 $155.45
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $148.61
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,121 $148.22
83605 <1% 5,378 $144.57
83880 <1% 3,675 $124.00
87634 <1% 505 $121.71
85610 <1% 10,587 $118.86
97165 <1% 13 $116.58
J3010 Injection, fentanyl citrate, 0.1 mg <1% 10,621 $114.20
86900 <1% 4,193 $114.15
90715 <1% 1,924 $113.70
85014 <1% 2,482 $98.17
85379 <1% 2,688 $78.87
93017 <1% 114 $75.31
87210 <1% 742 $70.56
87186 <1% 2,456 $67.46
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 201 $66.97
80061 Lipid panel <1% 1,040 $64.03
J2704 Injection, propofol, 10 mg <1% 2,924 $63.57
C9113 Injection, pantoprazole sodium, per vial <1% 1,453 $57.76
86901 <1% 4,193 $55.77
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 209 $52.06
85730 <1% 5,986 $44.31
J0690 Injection, cefazolin sodium, 500 mg <1% 8,791 $42.99
87077 <1% 1,980 $41.36
84703 <1% 2,994 $41.30
87430 <1% 1,449 $41.18
81003 <1% 3,653 $32.72
85027 <1% 3,786 $31.45
87205 <1% 1,897 $31.08
87807 <1% 99 $30.17
36416 <1% 1,886 $28.75
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,111 $28.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,969 $24.80
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,797 $24.34
J3370 Injection, vancomycin hcl, 500 mg <1% 780 $24.26
82272 <1% 68 $23.15
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 937 $21.94
J2060 Injection, lorazepam, 2 mg <1% 2,945 $21.28
J1170 Injection, hydromorphone, up to 4 mg <1% 5,243 $19.71
J0780 Injection, prochlorperazine, up to 10 mg <1% 961 $19.20
87147 <1% 646 $17.08
36415 Collection of venous blood by venipuncture <1% 17,550 $16.37
94760 <1% 3,948 $16.04
80047 <1% 630 $14.87
J3475 Injection, magnesium sulfate, per 500 mg <1% 985 $14.22
73502 <1% 113 $12.48
94664 <1% 281 $12.34
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,353 $11.88
J7030 Infusion, normal saline solution , 1000 cc <1% 274 $11.74
82550 <1% 2,176 $5.80
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 10,354 $4.59
84100 <1% 2,532 $2.70
85651 <1% 528 $2.37
J7999 Compounded drug, not otherwise classified <1% 406 $1.20
J2550 Injection, promethazine hcl, up to 50 mg <1% 764 $0.67
A9270 Non-covered item or service <1% 27,636 $0.35
C1760 Closure device, vascular (implantable/insertable) 0% 315 $0.00
84550 0% 248 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 435 $0.00
82565 0% 864 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 1,393 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 80 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 1,724 $0.00
C1758 Catheter, ureteral 0% 74 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 388 $0.00
82140 0% 92 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 1,430 $0.00
86923 0% 40 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 1,022 $0.00
73590 0% 72 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 34 $0.00
96367 0% 45 $0.00
J1245 Injection, dipyridamole, per 10 mg 0% 96 $0.00
84520 0% 182 $0.00
84450 0% 73 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 312 $0.00
36600 0% 63 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 20 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 100 $0.00
82248 0% 133 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 51 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 70 $0.00
95957 0% 159 $0.00
73080 0% 72 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 14 $0.00
74018 0% 15 $0.00
87324 0% 17 $0.00
73140 0% 26 $0.00
99152 0% 31 $0.00
85384 0% 13 $0.00
82010 0% 30 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 0% 22 $0.00
84460 0% 73 $0.00
82374 0% 17 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 17 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 0% 12 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 16 $0.00
J3470 Injection, hyaluronidase, up to 150 units 0% 1,581 $0.00
88304 0% 1,005 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 1,062 $0.00
88342 0% 1,074 $0.00
J3490 Unclassified drugs 0% 402 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 1,553 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 68 $0.00
85018 0% 141 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 135 $0.00
99406 0% 25 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 245 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 599 $0.00
82150 0% 31 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 85 $0.00
93797 0% 63 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 12 $0.00
J1815 Injection, insulin, per 5 units 0% 102 $0.00
87015 0% 165 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 68 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 101 $0.00
83986 0% 113 $0.00
J0280 Injection, aminophyllin, up to 250 mg 0% 83 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 208 $0.00
87490 0% 113 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 102 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 21 $0.00
86140 0% 61 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 40 $0.00
72170 0% 63 $0.00
86592 0% 26 $0.00
36226 0% 12 $0.00
70496 0% 43 $0.00
G0008 Administration of influenza virus vaccine 0% 18 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 19 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 0% 17 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 28 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCORMIER, CRISTIAN (CFO)
Same official

Other billing entities under CORMIER, CRISTIAN

Full network →
ProviderLocationPaid
SMSJ Tucson Holdings LLCTucson, AZ$29.82M
SMSJ Tucson Holdings, LLCTucson, AZ$2.95M
SMSJ Tucson Holdings LLCTucson, AZ$2.43M
SMSJ Tucson Holdings, LLCTucson, AZ$25K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.