Medicaid Provider Spending

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

SOUTHEAST MISSOURI ANESTHESIA SERVICES, LLC

NPI: 1649618547 · CAPE GIRARDEAU, MO 63703 · Anesthesiology Physician · NPI assigned 06/13/2013

$21K
Total Medicaid Paid
932
Total Claims
701
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialFONN, SONJAY (OWNER/CEO)
NPI Enumeration Date06/13/2013

Related Entities

Other providers sharing the same authorized official: FONN, SONJAY

ProviderCityStateTotal Paid
MIDWEST NEUROSURGEONS LLC CAPE GIRARDEAU MO $25K
MIDWEST SURGERY CENTER, LLC CAPE GIRARDEAU MO $104.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 904 $21K
2019 28 $567.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
01992 369 273 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92 69 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44 33 $2K
99156 64 46 $48.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 55 42 $2.88
J3490 Unclassified drugs 58 41 $0.00
80305 150 120 $0.00
A4550 Surgical trays 63 45 $0.00
99071 37 32 $0.00