Desert Spine Institute PLLC

Desert Spine Institute PLLC was paid $430K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 54% of everything it billed.

33Billing provider infoDESERT SPINE INSTITUTE PLLC
YUMA, AZ 85364

33aNPI1841505302assigned 08/09/2010

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$430K

24GClaims5,521

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in Arizona

Rank by total paid#1 of 6

Median peer was paid$29K

This provider vs. median15×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	448	$26K
2019	740	$60K
2020	873	$74K
2021	1,012	$86K
2022	994	$75K
2023	879	$67K
2024incomplete	575	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	54%	2,057	1,987	$230K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	34%	1,919	1,818	$147K
72100		9.9%	1,408	1,259	$42K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.7%	67	65	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	33	31	$2K
72040		<1%	37	37	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHERMENAU, SHAWN (PRESIDENT)