Physician
Spectrum Healthcare Group, INC
Spectrum Healthcare Group, INC was paid $1.68M by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoSPECTRUM HEALTHCARE GROUP, INC
COTTONWOOD, AZ 86326
COTTONWOOD, AZ 86326
33aNPI1043623978assigned 06/09/2014
33bProvider typePediatrics Physician
28Total paid$1.68M
24GClaims32,887
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#43 of 235
Median peer was paid$164K
This provider vs. median10×
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.
Entity ProliferationAuthorized official BAILEY, CORINNE controls 15+ related entities in our dataset. Read more
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 | 7,794 | $297K | |
| 2019 | 4,948 | $230K | |
| 2020 | 7,259 | $391K | |
| 2021 | 7,841 | $451K | |
| 2022 | 3,396 | $204K | |
| 2023 | 1,195 | $74K | |
| 2024incomplete | 454 | $34K |
Box 24 · Service lines
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 | 56% | 14,717 | 12,384 | $948K |
| 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 | 18% | 3,285 | 2,914 | $295K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.6% | 2,141 | 1,751 | $128K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.3% | 3,590 | 3,098 | $90K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.3% | 288 | 34 | $55K |
| 80305 | 1.2% | 1,445 | 1,008 | $20K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 198 | 187 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 624 | 592 | $14K |
| 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% | 125 | 119 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 459 | 411 | $9K |
| T1016 | Case management, each 15 minutes | <1% | 197 | 84 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 113 | 105 | $8K |
34 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 65 | $7K |
| 0013A | <1% | 87 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 419 | $6K |
| 96160 | <1% | 1,522 | $6K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 23 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 75 | $5K |
| 99484 | <1% | 75 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 69 | $4K |
| 95117 | <1% | 488 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 303 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 191 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 37 | $3K |
| 0002A | <1% | 28 | $2K | |
| T1002 | Rn services, up to 15 minutes | <1% | 36 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 100 | $2K |
| 0001A | <1% | 35 | $2K | |
| 90686 | <1% | 158 | $1K | |
| 87807 | <1% | 75 | $515.16 | |
| 0011A | <1% | 14 | $428.64 | |
| 81025 | <1% | 25 | $131.66 | |
| 99406 | <1% | 1,054 | $61.16 | |
| 81003 | <1% | 76 | $60.32 | |
| 3078F | 0% | 21 | $0.00 | |
| 3077F | 0% | 136 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 99072 | 0% | 46 | $0.00 | |
| 3008F | 0% | 173 | $0.00 | |
| 1125F | 0% | 27 | $0.00 | |
| 3080F | 0% | 134 | $0.00 | |
| 3074F | 0% | 57 | $0.00 | |
| 3079F | 0% | 14 | $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 officialBAILEY, CORINNE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $27.51M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $7.61M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.53M |
| Spectrum Healthcare Group, INC | Prescott, AZ | $1.30M |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $1.26M |
| Spectrum Healthcare Group, INC. | Camp Verde, AZ | $786K |
| Spectrum Healthcare Group, INC | Cottonwood, AZ | $778K |
| Spectrum Healthcare Group, INC | Prescott, AZ | $683K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $330K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $263K |
| Spectrum Healthcare Group, INC. | Cottonwood, AZ | $58K |
| Spectrum Healthcare Group, INC | Camp Verde, AZ | $42K |
| Spectrum Healthcare Group, INC. | Glendale, AZ | $28K |
| Spectrum Healthcare Group, INC | Sedona, AZ | $6K |
| Spectrum Healthcare Group, INC. | Tucson, AZ | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.