Medicaid Provider Spending

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

PULMONARY INSTITUTE OF ARIZONA PC

NPI: 1881050953 · TUCSON, AZ 85712 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 01/05/2016

$1.19M
Total Medicaid Paid
22,929
Total Claims
13,015
Beneficiaries
23
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialREYES, NATHANIEL (PRESIDENT)
NPI Enumeration Date01/05/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,514 $320K
2019 7,925 $399K
2020 6,967 $431K
2021 523 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 9,604 4,013 $331K
99233 Prolong inpt eval add15 m 5,034 2,518 $279K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,910 750 $235K
99223 Prolong inpt eval add15 m 1,757 1,624 $193K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,852 1,678 $80K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 830 754 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 155 132 $10K
94729 342 296 $9K
94060 291 252 $8K
94727 340 294 $7K
95811 28 24 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 15 14 $2K
94375 59 56 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 166 149 $1K
99442 57 55 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 27 17 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 82 60 $800.53
99231 Subsequent hospital care, per day, straightforward or low complexity 27 13 $544.48
99441 43 41 $296.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 35 28 $249.37
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 246 220 $17.79
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 15 $0.00
G8925 Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms 14 12 $0.00