Medicaid Provider Spending

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

UNIVERSITY OF SOUTH ALABAMA

NPI: 1689034803 · MOBILE, AL 36617 · Surgery Physician · NPI assigned 03/01/2016

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

Authorized official IKNER, HARVEY controls 13+ related entities in our dataset. Read more

$785K
Total Medicaid Paid
7,870
Total Claims
5,158
Beneficiaries
19
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialIKNER, HARVEY (ASSO ADMIN OF AMBULATORY CLINICS)
Parent OrganizationUNIVERSITY OF SOUTH ALABAMA
NPI Enumeration Date03/01/2016

Related Entities

Other providers sharing the same authorized official: IKNER, HARVEY

ProviderCityStateTotal Paid
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $11.63M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $1.70M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $1.26M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $1.12M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $759K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $267K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $266K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $237K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $231K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $192K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $189K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $161K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,495 $318K
2019 3,844 $414K
2020 531 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99243 1,677 1,490 $250K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,736 1,423 $136K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 794 350 $112K
42820 Tonsillectomy and adenoidectomy; younger than age 12 180 165 $69K
99233 Prolong inpt eval add15 m 967 423 $60K
99232 Subsequent hospital care, per day, moderate complexity 1,232 433 $46K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 168 75 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 267 207 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 233 173 $13K
99244 Office or other outpatient consultation, moderate to high complexity 89 73 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 238 180 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 128 40 $4K
31575 26 24 $3K
99205 Prolong outpt/office vis 19 12 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 14 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 15 $2K
16020 16 13 $1K
92557 19 15 $814.88
92567 39 33 $681.64