Spohn-Gross, Holly
Spohn-Gross, Holly was paid $154K by Medicaid between Jun 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSPOHN-GROSS, HOLLY
LAKE ISABELLA, CA 93240
LAKE ISABELLA, CA 93240
33aNPI1659453611assigned 10/19/2006
33bProvider typePodiatrist
28Total paid$154K
24GClaims3,559
24DCodes billed8
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in California
Rank by total paid#62 of 330
Median peer was paid$11K
This provider vs. median13×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 128 | $3K | |
| 2019 | 396 | $15K | |
| 2020 | 484 | $18K | |
| 2021 | 776 | $33K | |
| 2022 | 449 | $29K | |
| 2023 | 623 | $19K | |
| 2024incomplete | 703 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 1,662 | 1,520 | $78K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 34% | 943 | 916 | $52K |
| 11720 | 4.9% | 647 | 636 | $8K | |
| 17110 | 4.0% | 78 | 74 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 116 | 105 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 41 | 41 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 41 | 41 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 31 | 12 | $1K |
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.