Medicaid Provider Spending

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

CRITICAL CARE CONSULTANTS OF ARIZONA PLLC

NPI: 1811094931 · PRESCOTT, AZ 86301 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 09/20/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code 99291 with only 3 total codes billed. Highly concentrated billing profile.

$2.61M
Total Medicaid Paid
18,482
Total Claims
9,519
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialMAPEL, DOUGLAS (AUTHORIZED OFFICAL)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: MAPEL, DOUGLAS

ProviderCityStateTotal Paid
FLAGSTAFF INTENSIVE CARE SPECIALISTS, PLLC FLAGSTAFF AZ $99K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,187 $553K
2019 3,042 $416K
2020 3,522 $486K
2021 3,922 $595K
2022 2,675 $399K
2023 1,134 $158K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17,295 8,536 $2.52M
99292 807 728 $65K
99233 Prolong inpt eval add15 m 380 255 $22K