Medicaid Provider Spending

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

SOUTHWEST EAR, NOSE & THROAT, PLLC

NPI: 1861020703 · LAKE HAVASU CITY, AZ 86403 · Otolaryngology Physician · NPI assigned 03/27/2020

$498K
Total Medicaid Paid
6,901
Total Claims
6,469
Beneficiaries
18
Codes Billed
2020-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPRATER, MICHAEL (OWNER / MEMBER MANAGER)
NPI Enumeration Date03/27/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,215 $56K
2021 1,658 $113K
2022 1,521 $126K
2023 1,522 $123K
2024 985 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
31231 830 794 $151K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,892 1,812 $109K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,141 1,108 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 942 883 $73K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 324 312 $39K
76536 749 736 $31K
31575 67 65 $7K
92567 117 116 $2K
92504 18 12 $501.63
92557 13 12 $405.96
92587 12 12 $333.84
G9903 Patient screened for tobacco use and identified as a tobacco non-user 189 136 $0.00
1036F 133 110 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 154 99 $0.00
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 66 57 $0.00
G8484 Influenza immunization was not administered, reason not given 225 179 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15 12 $0.00
G9968 Patient was referred to another clinician or specialist during the measurement period 14 14 $0.00