Physician
Clinica Medica Del Sol, LLC
Clinica Medica Del Sol, LLC was paid $4.21M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoCLINICA MEDICA DEL SOL, LLC
PHOENIX, AZ 85051
PHOENIX, AZ 85051
33aNPI1023155991assigned 01/31/2007
33bProvider typeFamily Medicine Physician
28Total paid$4.21M
24GClaims74,891
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#29 of 442
Median peer was paid$77K
This provider vs. median55×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,276 | $688K | |
| 2019 | 11,941 | $585K | |
| 2020 | 8,447 | $447K | |
| 2021 | 9,792 | $552K | |
| 2022 | 10,370 | $637K | |
| 2023 | 11,980 | $722K | |
| 2024incomplete | 9,085 | $575K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 49% | 33,335 | 26,694 | $2.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 16,388 | 13,409 | $825K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 6,751 | 6,167 | $472K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.7% | 2,591 | 2,551 | $239K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.8% | 1,817 | 1,782 | $160K |
| 99385 | 3.0% | 1,322 | 1,295 | $125K | |
| 99386 | 1.6% | 616 | 606 | $67K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 913 | 889 | $61K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 578 | 553 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 397 | 395 | $34K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,028 | 1,764 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 218 | 217 | $16K |
33 more codes
| 99397 | <1% | 294 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 800 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 399 | $10K |
| 90756 | <1% | 505 | $7K | |
| 90686 | <1% | 487 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 173 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 19 | $3K |
| 81002 | <1% | 906 | $2K | |
| 90656 | <1% | 159 | $2K | |
| 0012A | <1% | 74 | $2K | |
| 93000 | <1% | 124 | $1K | |
| 0011A | <1% | 106 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 104 | $1K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 226 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 43 | $977.25 |
| 99173 | <1% | 618 | $858.63 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 277 | $798.05 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 187 | $689.40 |
| 99497 | <1% | 15 | $671.95 | |
| 90661 | <1% | 31 | $575.41 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 13 | $503.06 |
| 90694 | <1% | 13 | $389.39 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 255 | $366.03 |
| 82962 | <1% | 122 | $289.77 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 23 | $276.84 |
| 90653 | <1% | 13 | $208.59 | |
| 90662 | <1% | 27 | $200.40 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 124 | $176.62 |
| G0008 | Administration of influenza virus vaccine | <1% | 92 | $26.22 |
| 1101F | <1% | 1,642 | $0.07 | |
| 1111F | 0% | 12 | $0.00 | |
| 91301 | 0% | 39 | $0.00 | |
| 90649 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGUTIERREZ, JOSEPH (OWNER)