Sierra Vista Regional Health Center Medical Group LLC
Sierra Vista Regional Health Center Medical Group LLC was paid $2.42M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
SIERRA VISTA, AZ 85635
Next to other Internal Medicine Physician providers in Arizona
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,560 | $462K | |
| 2019 | 13,696 | $476K | |
| 2020 | 7,961 | $329K | |
| 2021 | 8,495 | $359K | |
| 2022 | 6,835 | $286K | |
| 2023 | 6,913 | $287K | |
| 2024incomplete | 5,756 | $220K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 20,439 | 17,504 | $772K |
| 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 | 19% | 9,283 | 7,891 | $457K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.6% | 2,998 | 2,718 | $159K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.1% | 3,914 | 1,306 | $147K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.7% | 2,704 | 1,236 | $90K |
| 99243 | 3.5% | 878 | 830 | $85K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 1,178 | 414 | $85K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 2,920 | 2,195 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 992 | 826 | $64K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,049 | 878 | $64K |
| 20610 | 2.4% | 1,738 | 1,365 | $59K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.3% | 484 | 446 | $57K |
74 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 1,089 | $50K |
| 99460 | 1.6% | 685 | $38K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 524 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 439 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 781 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 177 | $13K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 338 | $9K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 107 | $9K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 14 | $6K |
| 73030 | <1% | 360 | $5K | |
| 51798 | <1% | 929 | $5K | |
| 73564 | <1% | 260 | $5K | |
| 73630 | <1% | 231 | $5K | |
| 59430 | <1% | 29 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 281 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 54 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 63 | $4K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 224 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 163 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 70 | $4K |
| 99381 | <1% | 61 | $4K | |
| 11721 | <1% | 367 | $4K | |
| 81002 | <1% | 1,881 | $3K | |
| 51741 | <1% | 448 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | $3K |
| 81025 | <1% | 457 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 614 | $2K |
| 99462 | <1% | 92 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $2K |
| 72100 | <1% | 81 | $2K | |
| 90686 | <1% | 308 | $1K | |
| 94060 | <1% | 84 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 176 | $1K |
| 94618 | <1% | 81 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 52000 | <1% | 12 | $737.43 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 337 | $737.31 |
| 73562 | <1% | 24 | $615.45 | |
| 93000 | <1% | 57 | $586.73 | |
| 90682 | <1% | 13 | $560.25 | |
| 99173 | <1% | 385 | $510.64 | |
| 97597 | <1% | 65 | $430.31 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $427.95 |
| 36415 | Collection of venous blood by venipuncture | <1% | 60 | $362.41 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $305.59 |
| 73502 | <1% | 18 | $297.70 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 133 | $270.61 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $251.60 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $203.70 |
| 90461 | <1% | 16 | $156.35 | |
| 0011A | <1% | 17 | $136.27 | |
| 90662 | <1% | 17 | $131.87 | |
| 99000 | <1% | 82 | $105.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $7.65 |
| 99024 | <1% | 155 | $0.32 | |
| 90648 | 0% | 697 | $0.00 | |
| 90670 | 0% | 676 | $0.00 | |
| 90707 | 0% | 92 | $0.00 | |
| 90633 | 0% | 365 | $0.00 | |
| 90687 | 0% | 74 | $0.00 | |
| 90710 | 0% | 44 | $0.00 | |
| 90700 | 0% | 42 | $0.00 | |
| 90715 | 0% | 71 | $0.00 | |
| 90734 | 0% | 145 | $0.00 | |
| 1160F | 0% | 21 | $0.00 | |
| 99001 | 0% | 18 | $0.00 | |
| 90723 | 0% | 518 | $0.00 | |
| 90688 | 0% | 160 | $0.00 | |
| 90716 | 0% | 94 | $0.00 | |
| 90680 | 0% | 450 | $0.00 | |
| 90651 | 0% | 58 | $0.00 | |
| 90696 | 0% | 37 | $0.00 | |
| 3008F | 0% | 22 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.