Medicaid Provider Spending

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

S-S-C

NPI: 1972874287 · ALICE, TX 78332 · Family Medicine Physician · NPI assigned 01/18/2012

$428K
Total Medicaid Paid
81,832
Total Claims
49,988
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCANTU, SERGIO (PRESIDENT)
Parent OrganizationS-S-C
NPI Enumeration Date01/18/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,192 $45K
2019 12,495 $36K
2020 16,820 $48K
2021 16,004 $112K
2022 12,298 $94K
2023 1,510 $35K
2024 7,513 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 35,066 9,635 $194K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,373 4,521 $97K
99308 Subsequent nursing facility care, per day, straightforward 9,853 4,818 $43K
99349 457 442 $20K
99497 6,046 5,919 $15K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 5,778 5,778 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,137 1,034 $11K
S8301 Infection control supplies, not otherwise specified 253 217 $7K
99407 1,565 1,539 $6K
99336 1,363 1,340 $5K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 2,597 2,597 $3K
99337 45 45 $3K
99306 Prolong nursin fac eval 15m 120 115 $2K
99490 Ccm add 20min 6,916 6,913 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 165 158 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 715 648 $745.89
99316 56 55 $730.14
93000 43 43 $307.87
90688 160 160 $108.36
99318 180 179 $107.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 47 47 $52.08
J1885 Injection, ketorolac tromethamine, per 15 mg 615 565 $40.30
90661 17 17 $26.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 722 670 $15.84
J0696 Injection, ceftriaxone sodium, per 250 mg 17 16 $6.47
G0444 Annual depression screening, 5 to 15 minutes 261 261 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 224 220 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 261 261 $0.00
90756 13 13 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 73 72 $0.00
99072 31 30 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 18 18 $0.00
1123F 385 384 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 261 261 $0.00
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more 356 356 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 18 18 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 367 367 $0.00
G0008 Administration of influenza virus vaccine 183 183 $0.00
99496 62 60 $0.00
1111F 13 13 $0.00