Medicaid Provider Spending

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

MIDWEST NEUROSURGEONS LLC

NPI: 1992940407 · CAPE GIRARDEAU, MO 63703 · Neurological Surgery Physician · NPI assigned 12/12/2008

$25K
Total Medicaid Paid
2,140
Total Claims
1,743
Beneficiaries
18
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialFONN, SONJAY (SINGLE MEMBER/OWNER)
NPI Enumeration Date12/12/2008

Related Entities

Other providers sharing the same authorized official: FONN, SONJAY

ProviderCityStateTotal Paid
SOUTHEAST MISSOURI ANESTHESIA SERVICES, LLC CAPE GIRARDEAU MO $21K
MIDWEST SURGERY CENTER, LLC CAPE GIRARDEAU MO $104.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,122 $25K
2019 18 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 513 417 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 263 220 $6K
27096 57 43 $4K
72131 61 60 $3K
80305 627 498 $2K
72192 28 27 $1K
95923 13 13 $640.62
95886 13 13 $533.62
72114 14 14 $310.22
72190 30 29 $281.18
71046 Radiologic examination, chest; 2 views 14 14 $176.92
85018 39 39 $46.30
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 54 42 $13.26
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 82 30 $10.14
J3490 Unclassified drugs 18 12 $0.00
99071 244 215 $0.00
96103 15 15 $0.00
A4550 Surgical trays 55 42 $0.00