Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › PHOENIX › CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

NPI: 1801421656 · PHOENIX, AZ 85032 · Multi-Specialty Clinic/Center · NPI assigned 03/11/2020

$101K
Total Medicaid Paid
2,135
Total Claims
1,625
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMOLAREK, MATTHEW (CFO)
NPI Enumeration Date03/11/2020

Related Entities

Other providers sharing the same authorized official: SMOLAREK, MATTHEW

ProviderCityStateTotal Paid
CLEANSLATE MEDICAL GROUP OF INDIANA LLC ALEXANDRIA IN $79.21M
TOTAL WELLNESS CENTERS, LLC HOLYOKE MA $77.17M
TOTAL WELLNESS CENTERS, LLC WEST SPRINGFIELD MA $38.42M
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC WILKES BARRE PA $18.61M
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC GLENDALE WI $17.13M
CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC LOUISVILLE KY $10.48M
CLEANSLATE MEDICAL GROUP OF OHIO LLC MORAINE OH $9.53M
CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC MECHANICSVILLE VA $4.28M
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC GILBERT AZ $955K
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC PHOENIX AZ $248K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 181 $6K
2022 703 $31K
2023 474 $19K
2024 777 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 836 620 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,299 1,005 $49K