Medicaid Provider Spending

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

FENIX HEALTH, LLC

NPI: 1811467517 · COLORADO SPRINGS, CO 80918 · Pain Clinic/Center · NPI assigned 11/26/2018

Deactivated NPI · This NPI was deactivated on 09/14/2021. Reactivated 10/14/2021.
$3.81M
Total Medicaid Paid
60,927
Total Claims
52,324
Beneficiaries
16
Codes Billed
2019-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialSPENCER, MICHAEL (CHIEF OPERATING OFFICER)
NPI Enumeration Date11/26/2018

Related Entities

Other providers sharing the same authorized official: SPENCER, MICHAEL

ProviderCityStateTotal Paid
KOALA EYE CENTRE PC GREENSBORO NC $3.17M
INFOCUS EYEWEAR GREENSBORO NC $337K
COLON & RECTAL SURGERY ASSOCIATES LTD MINNEAPOLIS MN $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,720 $259K
2020 10,113 $454K
2021 15,755 $848K
2022 20,634 $1.56M
2023 8,705 $690K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,089 18,710 $1.59M
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 4,102 3,553 $783K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 2,432 2,308 $384K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,736 3,019 $279K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 2,017 1,929 $250K
80305 21,863 19,157 $230K
20553 3,896 2,260 $172K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 571 562 $73K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 859 573 $30K
76942 69 40 $5K
20552 77 57 $3K
20561 66 45 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 20 20 $2K
20610 19 13 $890.69
97032 91 63 $625.09
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 20 15 $0.30