Medicaid Provider Spending

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

SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA

NPI: 1861549503 · SAN ANTONIO, TX 78240 · Sports Medicine (Family Medicine) Physician · NPI assigned 01/04/2007

$172K
Total Medicaid Paid
3,343
Total Claims
2,973
Beneficiaries
12
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRKELO, JULIE (CREDENTIALING)
NPI Enumeration Date01/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 259 $10K
2022 850 $34K
2023 1,226 $66K
2024 1,008 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 945 912 $77K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,213 1,078 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 688 593 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 200 195 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 139 65 $5K
25600 13 13 $4K
73100 45 43 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 30 14 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 19 12 $1K
73564 26 24 $878.03
73610 12 12 $372.68
73070 13 12 $319.92