Medicaid Provider Spending

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

PONDEROSA FAMILY CARE, LLC

NPI: 1992321723 · PAYSON, AZ 85541 · Rural Health Clinic/Center · NPI assigned 06/17/2020

$2.13M
Total Medicaid Paid
16,463
Total Claims
12,390
Beneficiaries
13
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHELS, ALAN (PHYSICIAN/OWNER)
NPI Enumeration Date06/17/2020

Related Entities

Other providers sharing the same authorized official: MICHELS, ALAN

ProviderCityStateTotal Paid
PONDEROSA FAMILY CARE, LLC PAYSON AZ $494K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 266 $48K
2022 3,544 $445K
2023 5,753 $758K
2024 6,900 $879K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,185 7,435 $2.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,958 3,019 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,152 974 $209.38
90837 Psychotherapy, 53 minutes with patient 100 66 $107.44
99215 Prolong outpt/office vis 89 71 $61.60
90791 Psychiatric diagnostic evaluation 37 30 $55.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 298 268 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 50 48 $0.00
90834 Psychotherapy, 45 minutes with patient 43 27 $0.00
90832 Psychotherapy, 30 minutes with patient 90 69 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 337 268 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 50 41 $0.00
90472 Immunization administration, each additional vaccine (list separately) 74 74 $0.00