Medicaid Provider Spending

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

SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC

NPI: 1902881295 · PHOENIX, AZ 85015 · Magnetic Resonance Imaging (MRI) Clinic/Center · NPI assigned 12/09/2005

$10.50M
Total Medicaid Paid
69,437
Total Claims
57,616
Beneficiaries
67
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOMLON, ERIC (CHIEF OF ADMINISTRATION & STAFF OFF)
NPI Enumeration Date12/09/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190 $127K
2019 331 $181K
2020 3,886 $344K
2021 9,037 $647K
2022 18,512 $2.84M
2023 20,306 $3.40M
2024 17,175 $2.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
27447 1,199 1,141 $6.54M
27130 414 402 $3.00M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 3,042 2,584 $478K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 879 783 $115K
29827 27 26 $74K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 797 740 $70K
73700 1,240 1,163 $59K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,607 1,478 $55K
73221 269 246 $30K
64721 29 27 $25K
72141 116 105 $14K
C1776 Joint device (implantable) 2,742 2,034 $13K
29881 12 12 $13K
71046 Radiologic examination, chest; 2 views 71 67 $3K
A4649 Surgical supply; miscellaneous 3,373 1,388 $2K
64447 660 651 $917.92
86900 67 65 $659.07
85730 257 246 $424.15
80053 Comprehensive metabolic panel 723 655 $20.69
80048 Basic metabolic panel (calcium, ionized) 2,021 1,700 $17.76
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,594 1,473 $13.92
85027 2,628 2,088 $0.53
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,118 1,629 $0.00
97161 2,150 2,042 $0.00
20985 82 79 $0.00
97116 2,705 1,981 $0.00
J7030 Infusion, normal saline solution , 1000 cc 1,409 1,298 $0.00
81025 702 680 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,848 3,317 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 522 422 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 138 133 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 617 593 $0.00
76942 471 465 $0.00
85610 374 358 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,812 1,623 $0.00
0055T 599 560 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 38 38 $0.00
J1171 Injection, hydromorphone, 0.1 mg 112 110 $0.00
J3370 Injection, vancomycin hcl, 500 mg 40 36 $0.00
76000 181 167 $0.00
36415 Collection of venous blood by venipuncture 3,404 2,493 $0.00
82962 963 696 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 2,564 2,482 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 2,322 1,761 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,115 1,074 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 320 312 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 166 148 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 3,758 3,323 $0.00
73560 1,613 1,509 $0.00
J0690 Injection, cefazolin sodium, 500 mg 3,700 2,391 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,380 2,202 $0.00
36416 228 206 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,889 2,211 $0.00
97535 Self-care/home management training, each 15 minutes 175 151 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 175 170 $0.00
J3360 Injection, diazepam, up to 5 mg 77 77 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 668 649 $0.00
73501 443 404 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 105 100 $0.00
J1094 Injection, dexamethasone acetate, 1 mg 186 167 $0.00
86850 68 66 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 138 131 $0.00
86901 67 65 $0.00
64415 75 72 $0.00
72170 16 16 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 124 123 $0.00
29826 13 12 $0.00