Medicaid Provider Spending

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

AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA

NPI: 1699765107 · TYLER, TX 75701 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/26/2005

$4K
Total Medicaid Paid
414
Total Claims
398
Beneficiaries
5
Codes Billed
2018-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialEBERT, HEIDI (BILLING SUPERVISOR)
NPI Enumeration Date10/26/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88 $123.01
2019 32 $594.29
2020 185 $641.86
2021 109 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 246 234 $4K
99490 Ccm add 20min 122 122 $316.15
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $254.61
73610 17 17 $242.67
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 17 13 $0.00