Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › GRAND JUNCTION › GRAND MESA SPINE AND SPORT LLC

GRAND MESA SPINE AND SPORT LLC

NPI: 1700220993 · GRAND JUNCTION, CO 81505 · Interventional Pain Medicine Physician · NPI assigned 04/18/2013

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

Authorized official JAMES, WILLIAM controls 11+ related entities in our dataset. Read more

$1.71M
Total Medicaid Paid
38,073
Total Claims
23,935
Beneficiaries
41
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialJAMES, WILLIAM (OWNER)
NPI Enumeration Date04/18/2013

Related Entities

Other providers sharing the same authorized official: JAMES, WILLIAM

ProviderCityStateTotal Paid
TOLEDO PAIN SERVICES, PLL TOLEDO OH $2.33M
CHEROKEE COUNTY SCHOOL DISTRICT GAFFNEY SC $1.96M
PT LINK LLC TOLEDO OH $1.39M
WEST CENTRAL SURGICAL CENTER, LLC TOLEDO OH $101K
SOUTH SHORE COUNSELING AND PSYCHOLOGICAL SERVICES P C WANTAGH NY $100K
EL PASO-GRIDLEY CUSD #11 EL PASO IL $61K
WEST CENTRAL SURGICAL CENTER, LLC TOLEDO OH $56K
WEST CENTRAL SURGICAL CENTER-BAYSIDE OREGON OH $41K
DESOTO PHYSICAL THERAPY, L.L.C. STONEWALL LA $19K
WEST CENTRAL SURGICAL CENTER-BAYSIDE OREGON OH $3K
BENTON PHYSICAL THERAPY, LLC BENTON LA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,203 $262K
2019 7,958 $328K
2020 9,899 $446K
2021 10,116 $503K
2022 3,897 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,480 6,533 $439K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,572 2,823 $214K
01992 1,318 1,130 $193K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,815 3,396 $181K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,920 2,285 $151K
64635 300 204 $70K
01935 379 305 $57K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,057 897 $48K
27096 485 446 $48K
90791 Psychiatric diagnostic evaluation 710 588 $42K
99205 Prolong outpt/office vis 321 291 $41K
90834 Psychotherapy, 45 minutes with patient 951 530 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 225 212 $25K
97163 411 395 $23K
20553 479 351 $16K
01936 88 81 $16K
64636 194 125 $15K
64633 66 51 $15K
64493 144 101 $13K
80305 1,412 1,243 $11K
97014 1,603 603 $10K
97012 1,098 512 $7K
64490 68 54 $7K
64494 104 69 $5K
64634 29 25 $5K
62323 54 46 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 95 88 $3K
97162 64 61 $2K
01939 18 13 $2K
64483 16 12 $2K
64491 33 29 $1K
62321 14 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72 70 $958.83
90832 Psychotherapy, 30 minutes with patient 28 24 $600.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32 31 $449.94
Q3014 Telehealth originating site facility fee 164 150 $287.90
99406 20 20 $200.34
J1885 Injection, ketorolac tromethamine, per 15 mg 32 31 $27.59
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 176 74 $26.17
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14 12 $0.00