Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SAULT SAINTE MARIE › SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC

SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC

NPI: 1699028613 · SAULT SAINTE MARIE, MI 49783 · Otolaryngology/Facial Plastic Surgery Physician · NPI assigned 10/16/2012

$27K
Total Medicaid Paid
666
Total Claims
648
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialWALLACE, MARK (PRESIDENT)
NPI Enumeration Date10/16/2012

Related Entities

Other providers sharing the same authorized official: WALLACE, MARK

ProviderCityStateTotal Paid
COMPANION CARE OF SWLA DERIDDER LA $3.37M
COMPANION CARE OF SOUTHWEST LOUISIANA LEESVILLE LA $1.52M
COMPANION CARE OF SWLA DERIDDER LA $500K
COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS GREELEY CO $290K
COMPANION CARE OF SOUTHWEST LOUISIANA LEESVILLE LA $105K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 484 $20K
2019 182 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 461 445 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 140 139 $8K
92567 65 64 $523.22