Medicaid Provider Spending

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

JACKSONVILLE SPINE CENTER PA

NPI: 1912560798 · FLEMING ISLAND, FL 32003 · Interventional Pain Medicine Physician · NPI assigned 04/17/2019

$2K
Total Medicaid Paid
179
Total Claims
146
Beneficiaries
3
Codes Billed
2021-05
First Month
2021-06
Last Month

Provider Details

Authorized OfficialGROTH, ALICIA (CREDENTIALING SPECIALIST)
NPI Enumeration Date04/17/2019

Related Entities

Other providers sharing the same authorized official: GROTH, ALICIA

ProviderCityStateTotal Paid
JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL $52K
JACKSONVILLE SPINE CENTER PA JACKSONVILLE FL $43K
JACKSONVILLE SPINE CENTER PA FERNANDINA BEACH FL $15K
JACKSONVILLE SPINE CENTER PA PALATKA FL $2K
JACKSONVILLE SPINE CENTER PA ST AUGUSTINE FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 179 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 117 94 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 35 $280.53
96136 24 17 $0.00