Medicaid Provider Spending

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

ELEVATED ANESTHESIA LLC

NPI: 1720590672 · FLAGSTAFF, AZ 86001 · Ambulatory Surgical Clinic/Center · NPI assigned 11/01/2017

$15K
Total Medicaid Paid
102
Total Claims
92
Beneficiaries
4
Codes Billed
2018-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialFORDYCE, TRICIA (BUSINESS MANAGER)
NPI Enumeration Date11/01/2017

Related Entities

Other providers sharing the same authorized official: FORDYCE, TRICIA

ProviderCityStateTotal Paid
FOREST CANYON ENDOSCOPY & SURGERY CTR PC FLAGSTAFF AZ $1.22M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $2K
2020 51 $5K
2021 13 $2K
2024 25 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00731 51 42 $6K
00170 Anesthesia for intraoral procedures, including biopsy 25 25 $6K
00813 13 13 $2K
00811 13 12 $1K