Medicaid Provider Spending

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

SAINT AGNES MEDICAL FOUNDATION

NPI: 1558819482 · FRESNO, CA 93720 · Colon & Rectal Surgery Physician · NPI assigned 09/20/2016

$1.44M
Total Medicaid Paid
429,975
Total Claims
361,857
Beneficiaries
152
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSOLDO, STEPHEN (PRESIDENT)
NPI Enumeration Date09/20/2016

Related Entities

Other providers sharing the same authorized official: SOLDO, STEPHEN

ProviderCityStateTotal Paid
SAINT AGNES MEDICAL PROVIDERS INC FRESNO CA $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,413 $28K
2019 52,126 $98K
2020 59,126 $213K
2021 66,108 $281K
2022 70,035 $257K
2023 84,196 $319K
2024 66,971 $245K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110,313 102,298 $242K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15,065 6,302 $216K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29,037 27,869 $165K
99233 Prolong inpt eval add15 m 27,494 11,804 $148K
99232 Subsequent hospital care, per day, moderate complexity 29,049 11,840 $123K
99223 Prolong inpt eval add15 m 11,341 11,049 $98K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,661 30,474 $94K
99239 Hospital discharge day management, more than 30 minutes 12,221 11,960 $72K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13,618 13,288 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,283 10,159 $46K
Z1034 572 337 $31K
0011A 617 537 $19K
0012A 564 500 $18K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,018 1,014 $15K
99222 Initial hospital care, per day, moderate complexity 1,944 1,909 $12K
59514 666 597 $8K
59425 1,016 703 $8K
27447 132 123 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,286 2,200 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,679 3,544 $5K
47563 168 145 $5K
43775 67 67 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,956 12,363 $4K
98960 541 417 $3K
H1001 Prenatal care, at-risk enhanced service; antepartum management 9,985 6,040 $3K
0003A 78 74 $3K
0013A 72 68 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,766 4,281 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,082 512 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,315 11,931 $2K
0004A 67 58 $2K
20610 4,890 4,315 $2K
99215 Prolong outpt/office vis 354 343 $2K
59025 Fetal non-stress test 1,143 571 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 395 388 $1K
99238 Hospital discharge day management, 30 minutes or less 954 940 $1K
0064A 30 29 $1K
43644 13 13 $948.25
71046 Radiologic examination, chest; 2 views 1,628 1,580 $917.60
99497 121 96 $889.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,102 3,000 $864.51
99460 232 230 $818.80
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 211 210 $762.17
77067 Screening mammography, bilateral, including computer-aided detection 376 376 $636.40
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,858 2,788 $625.74
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 167 165 $615.11
81025 6,161 5,997 $610.66
Z6400 39 31 $585.15
73562 2,327 2,262 $578.55
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,811 1,687 $503.10
0002A 29 23 $496.82
J3490 Unclassified drugs 240 240 $454.39
H1000 Prenatal care, at-risk assessment 442 440 $435.56
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 38 37 $406.03
51729 12 12 $397.91
81002 6,005 5,511 $373.22
99490 Ccm add 20min 286 286 $354.13
73610 730 704 $349.62
99244 Office or other outpatient consultation, moderate to high complexity 134 134 $317.46
J1040 Injection, methylprednisolone acetate, 80 mg 831 820 $289.71
77066 Tomosynthesis, mammo 119 119 $275.16
H1002 Prenatal care, at risk enhanced service; care coordination 207 207 $271.66
0001A 17 14 $252.22
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,627 1,611 $249.74
H1003 Prenatal care, at-risk enhanced service; education 1,599 1,351 $245.16
99243 129 128 $238.00
99498 36 29 $223.46
80053 Comprehensive metabolic panel 701 698 $216.52
87807 824 808 $216.22
99220 82 80 $213.00
84443 Thyroid stimulating hormone (TSH) 67 67 $200.53
99221 14 14 $188.31
76642 77 76 $176.80
G8510 Screening for depression is documented as negative, a follow-up plan is not required 273 266 $172.58
90686 500 499 $167.19
81003 1,727 1,577 $159.35
99234 29 29 $149.40
J1885 Injection, ketorolac tromethamine, per 15 mg 2,115 1,979 $144.92
31500 13 12 $136.20
96156 1,946 1,747 $129.10
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 53 43 $119.61
59430 453 436 $112.98
73502 114 114 $110.36
90715 528 521 $107.98
90662 12 12 $100.00
83036 Hemoglobin; glycosylated (A1C) 165 163 $96.20
93000 389 382 $86.32
80061 Lipid panel 37 36 $83.12
73130 161 160 $82.56
97803 1,161 1,038 $82.28
99401 1,491 1,265 $82.28
J1030 Injection, methylprednisolone acetate, 40 mg 179 179 $80.10
99000 142 134 $75.21
87510 1,243 1,219 $70.19
87480 1,246 1,222 $70.13
87660 1,260 1,235 $69.89
51798 286 268 $66.60
J0696 Injection, ceftriaxone sodium, per 250 mg 563 495 $66.02
99252 12 12 $64.92
96127 139 105 $61.69
77080 17 17 $57.30
81001 64 63 $55.68
73030 582 572 $51.74
73630 375 355 $33.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,474 1,441 $29.87
J1010 Injection, methylprednisolone acetate, 1 mg 53 53 $26.50
73110 197 191 $17.19
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 159 110 $16.82
73560 41 41 $12.66
77065 Tomosynthesis, mammo 38 33 $10.48
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 299 250 $1.85
82962 268 259 $1.83
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 21 13 $0.26
3078F 5,974 5,778 $0.00
69209 121 120 $0.00
3077F 431 425 $0.00
0502F 886 595 $0.00
47562 13 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 146 138 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 14 14 $0.00
73140 26 26 $0.00
82947 13 13 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 19 19 $0.00
10060 33 32 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 14 14 $0.00
99051 14 14 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 50 40 $0.00
3074F 6,896 6,684 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 34 33 $0.00
3079F 1,596 1,575 $0.00
H2000 Comprehensive multidisciplinary evaluation 166 150 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 723 654 $0.00
90656 26 26 $0.00
3044F 2,105 2,018 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 304 296 $0.00
99439 75 68 $0.00
76830 Ultrasound, transvaginal 12 12 $0.00
73564 35 35 $0.00
3075F 612 597 $0.00
36415 Collection of venous blood by venipuncture 345 332 $0.00
80048 Basic metabolic panel (calcium, ionized) 13 13 $0.00
3080F 263 255 $0.00
S9452 Nutrition classes, non-physician provider, per session 244 219 $0.00
99217 15 14 $0.00
99406 14 14 $0.00
97802 16 16 $0.00
0503F 30 28 $0.00
77063 Screening digital breast tomosynthesis, bilateral 64 64 $0.00
29700 24 24 $0.00
99412 12 12 $0.00
71045 Radiologic examination, chest; single view 27 26 $0.00
36556 14 12 $0.00