Medicaid Provider Spending

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

ESCALERA HEALTH, LLC

NPI: 1962982397 · TUCSON, AZ 85712 · Clinic/Center · NPI assigned 08/15/2018

$316K
Total Medicaid Paid
8,308
Total Claims
3,678
Beneficiaries
18
Codes Billed
2019-04
First Month
2023-05
Last Month

Provider Details

Authorized OfficialHUDSON, EDWARD (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/15/2018

Related Entities

Other providers sharing the same authorized official: HUDSON, EDWARD

ProviderCityStateTotal Paid
ESCALERA HEALTH LLC TUCSON AZ $4.97M
SUNBELT MEDICAL GROUP LLC TUCSON AZ $425K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 817 $37K
2020 1,418 $58K
2021 573 $23K
2022 1,025 $78K
2023 4,475 $120K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 428 200 $71K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,053 897 $58K
H2017 Psychosocial rehabilitation services, per 15 minutes 3,339 218 $55K
H0031 Mental health assessment, by non-physician 394 379 $22K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,152 429 $22K
99215 Prolong outpt/office vis 199 180 $16K
99222 Initial hospital care, per day, moderate complexity 169 162 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 402 354 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 328 306 $13K
99232 Subsequent hospital care, per day, moderate complexity 351 90 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 113 109 $6K
99223 Prolong inpt eval add15 m 38 37 $6K
99238 Hospital discharge day management, 30 minutes or less 84 75 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68 66 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 28 $1K
99205 Prolong outpt/office vis 13 12 $1K
99000 127 122 $525.13
T1016 Case management, each 15 minutes 17 14 $188.88