Physician
Miguel A. Arenas, M.D., PC
Miguel A. Arenas, M.D., PC was paid $624K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 34% of everything it billed.
33Billing provider infoMIGUEL A. ARENAS, M.D., PC
TUCSON, AZ 85715
TUCSON, AZ 85715
33aNPI1053515130assigned 06/13/2007
33bProvider typeGastroenterology Physician
28Total paid$624K
24GClaims9,769
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#15 of 63
Median peer was paid$93K
This provider vs. median6.7×
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 | 2,354 | $142K | |
| 2019 | 1,785 | $122K | |
| 2020 | 1,152 | $80K | |
| 2021 | 1,701 | $105K | |
| 2022 | 1,429 | $91K | |
| 2023 | 1,013 | $65K | |
| 2024incomplete | 335 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 34% | 2,812 | 2,621 | $212K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 1,151 | 1,079 | $137K |
| 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 | 13% | 1,622 | 1,494 | $79K |
| 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 | 11% | 912 | 836 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 1,706 | 1,629 | $56K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.9% | 713 | 228 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 457 | 429 | $22K |
| 99221 | 1.8% | 184 | 176 | $11K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | 12 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 13 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $1K |
6 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 35 | $800.69 |
| 99442 | <1% | 16 | $779.57 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 14 | $212.38 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 42 | $194.20 |
| 88313 | <1% | 28 | $190.25 | |
| 88312 | <1% | 27 | $160.96 |
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 officialARENAS, MIGUEL (PROVIDER)