Medicaid Provider Spending

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

SILVERTON GROUP LLC

NPI: 1629303169 · MURRAY, UT 84107 · Hospitalist Physician · NPI assigned 10/15/2009

$1.55M
Total Medicaid Paid
49,205
Total Claims
15,386
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTINEZ, MARK (MANAGING PARTNER)
NPI Enumeration Date10/15/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,848 $187K
2019 8,718 $249K
2020 8,477 $259K
2021 11,721 $318K
2022 7,409 $230K
2023 4,159 $165K
2024 2,873 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99310 Prolong nursin fac eval 15m 16,600 4,760 $667K
99233 Prolong inpt eval add15 m 9,515 1,526 $367K
99309 Subsequent nursing facility care, per day, low to moderate complexity 12,821 5,438 $284K
99232 Subsequent hospital care, per day, moderate complexity 5,749 731 $146K
99308 Subsequent nursing facility care, per day, straightforward 2,083 1,098 $29K
99306 Prolong nursin fac eval 15m 431 315 $15K
99350 Prolong home eval add 15m 250 217 $11K
99490 Ccm add 20min 580 455 $9K
99349 278 247 $7K
99223 Prolong inpt eval add15 m 80 66 $5K
99337 167 86 $4K
99336 138 82 $2K
99497 98 80 $1K
99072 144 82 $1K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 14 14 $452.56
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 100 70 $76.38
99406 66 41 $46.06
99335 52 48 $17.33
99326 18 15 $0.00
99439 21 15 $0.00