Medicaid Provider Spending

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

SOUND PHYSICIANS INTENSIVISTS OF ARIZONA, INC

NPI: 1962944702 · TUCSON, AZ 85745 · Physician Assistant · NPI assigned 11/10/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code 99291 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$1.66M
Total Medicaid Paid
13,799
Total Claims
6,026
Beneficiaries
3
Codes Billed
2018-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date11/10/2016

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156 $12K
2019 1,284 $133K
2020 3,101 $343K
2021 3,208 $423K
2022 2,492 $313K
2023 2,264 $284K
2024 1,294 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13,529 5,828 $1.64M
99233 Prolong inpt eval add15 m 252 185 $16K
99292 18 13 $792.27