Medicaid Provider Spending

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

EASTERN PENNSYLVANIA PHYSICIAN ALLIANCE LLC

NPI: 1902440621 · CLARION, PA 16214 · Child & Adolescent Psychiatry Physician · NPI assigned 11/06/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EVANS, TODD controls 20+ related entities in our dataset. Read more

$636K
Total Medicaid Paid
42,257
Total Claims
10,385
Beneficiaries
7
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, TODD (VP)
NPI Enumeration Date11/06/2019

Related Entities

Other providers sharing the same authorized official: EVANS, TODD

ProviderCityStateTotal Paid
MCALLEN HOSPITALIST GROUP, PLLC EDINBURG TX $7.40M
TEXOMACARE DENISON TX $5.95M
NORTHWEST TEXAS WYATT CLINIC PLLC AMARILLO TX $4.39M
NORTHERN NEVADA MEDICAL GROUP, LLC SPARKS NV $2.60M
TEXOMACARE MADILL OK $2.35M
MID ATLANTIC MEDICINE LLC WASHINGTON DC $1.84M
ST. MARY'S PHYSICIAN ASSOCIATES, LLC ENID OK $1.76M
LAS VEGAS MEDICAL GROUP LLC LAS VEGAS NV $1.36M
AIKEN PROFESSIONAL ASSOCIATION, LLC AIKEN SC $1.35M
NORTHWEST URGENT CARE, PLLC AMARILLO TX $1.02M
TEXOMACARE SPECIALTY PHYSICIANS DENISON TX $644K
NWTX PHYSICIAN NETWORK, PLLC AMARILLO TX $475K
HEART CLINIC, PLLC MCALLEN TX $385K
LAREDO PHYSICIANS GROUP LAREDO TX $365K
NEVADA URGENT CARE NETWORK LLC SPARKS NV $211K
UHS OF DESERT SPRINGS, INC. HENDERSON NV $151K
MANATEE CARDIOLOGY ASSOCIATES, LLC BRADENTON FL $23K
WELLINGTON PHYSICIAN ALLIANCES INC WELLINGTON FL $14K
MANATEE PHYSICIAN ALLIANCE, LLC BRADENTON FL $14K
MARY ALICE COWAN, MD, PLLC HOUSTON TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 56 $0.00
2021 9,615 $69K
2022 9,663 $143K
2023 12,211 $190K
2024 10,712 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 32,796 4,882 $455K
99232 Subsequent hospital care, per day, moderate complexity 5,196 1,498 $67K
99222 Initial hospital care, per day, moderate complexity 955 905 $44K
99221 829 798 $38K
99238 Hospital discharge day management, 30 minutes or less 2,146 2,047 $31K
99233 Prolong inpt eval add15 m 75 12 $909.22
90792 Psychiatric diagnostic evaluation with medical services 260 243 $0.00