Medicaid Provider Spending

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

SOUTH TEXAS SPINAL CLINIC, P.A.

NPI: 1679506653 · SAN ANTONIO, TX 78258 · Pediatric Orthopaedic Surgery Physician · NPI assigned 07/10/2006

$530K
Total Medicaid Paid
17,952
Total Claims
15,174
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, JAMES (PRESIDENT)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: SIMMONS, JAMES

ProviderCityStateTotal Paid
ALL CHILDREN'S PEDIATRICS PORT ROYAL SC $2.63M
CENTRAL WASHINGTON PHYSICAL THERAPY YAKIMA WA $179K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 892 $4K
2019 460 $4K
2020 1,859 $49K
2021 6,839 $193K
2022 3,517 $106K
2023 2,612 $94K
2024 1,773 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,609 5,390 $219K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,920 1,892 $81K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,729 2,603 $56K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,537 488 $35K
72082 492 475 $24K
99443 392 386 $18K
99215 Prolong outpt/office vis 257 254 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,041 389 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 201 191 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes 483 191 $10K
99442 201 198 $6K
97150 Therapeutic procedure(s), group (2 or more individuals) 410 192 $5K
95886 49 46 $5K
20611 84 57 $4K
62323 32 32 $4K
80305 484 458 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 477 455 $3K
95912 19 19 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 382 366 $2K
64493 13 12 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 230 217 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 78 75 $2K
97163 17 16 $1K
72110 12 12 $492.64
CP003 15 13 $147.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 40 40 $78.86
99000 33 31 $31.76
96127 679 647 $13.44
J2250 Injection, midazolam hydrochloride, per 1 mg 17 17 $0.70
J3490 Unclassified drugs 19 12 $0.00