Medicaid Provider Spending

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

MOUNTAIN BLUE CANCER CARE CENTER PC

NPI: 1699009084 · ENGLEWOOD, CO 80113 · Hematology & Oncology Physician · NPI assigned 10/01/2009

$160K
Total Medicaid Paid
6,424
Total Claims
4,608
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialWITTA, SAMIR (OWNER)
NPI Enumeration Date10/01/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 569 $10K
2019 1,381 $35K
2020 1,162 $20K
2021 1,701 $47K
2022 1,611 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 902 713 $59K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 541 303 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 798 657 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,822 1,294 $11K
36415 Collection of venous blood by venipuncture 2,204 1,536 $3K
96367 84 55 $2K
96417 22 14 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $129.12
J7030 Infusion, normal saline solution , 1000 cc 20 12 $27.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 12 $18.71