Medicaid Provider Spending

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

GREAT LAKES PEDIATRIC SURGEONS, INC.

NPI: 1669455267 · FORT WAYNE, IN 46804 · Pediatric Surgery Physician · NPI assigned 11/29/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more

$458K
Total Medicaid Paid
7,146
Total Claims
6,509
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, DAVID (PRESIDENT)
NPI Enumeration Date11/29/2005

Related Entities

Other providers sharing the same authorized official: SMITH, DAVID

ProviderCityStateTotal Paid
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC PHOENIX AZ $7.56M
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC PINOLE CA $2.31M
PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA $2.29M
UNITED IMAGING CONSULTANTS, LLC LENEXA KS $1.86M
SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED SAN MARCOS TX $1.45M
HAYWOOD COUNTY BROWNSVILLE TN $1.27M
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC CASA GRANDE AZ $898K
BAY HEMATOLOGY ONCOLOGY PA EASTON MD $817K
PINNACLE MEDICAL CLINIC INC SUMMIT MS $809K
NORTH SHORE PEDIATRICS, PC DANVERS MA $546K
NEW MEXICO PHYSICAL THERAPISTS INC LOS LUNAS NM $520K
EL FUTURO, INC DURHAM NC $414K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $408K
DAVID J. SMITH MD PC GRAND LEDGE MI $401K
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC FAIRFIELD CA $324K
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC TUCSON AZ $307K
GATEWAY FOOT AND ANKLE CENTER, PLC CLARKSVILLE TN $271K
ADVANCED CARDIOVASCULAR CONSULTANTS INC CHARDON OH $240K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $162K
EL FUTURO, INC DURHAM NC $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 776 $46K
2019 1,009 $49K
2020 993 $54K
2021 1,020 $67K
2022 993 $67K
2023 1,512 $100K
2024 843 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,348 3,189 $257K
99222 Initial hospital care, per day, moderate complexity 912 807 $79K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,981 1,794 $65K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 561 521 $32K
99232 Subsequent hospital care, per day, moderate complexity 214 77 $10K
43762 39 38 $7K
99221 77 71 $5K
43760 14 12 $4K