Bethesda Pediatrics of Queen Creek

Bethesda Pediatrics of Queen Creek was paid $2.53M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoBETHESDA PEDIATRICS OF QUEEN CREEK
QUEEN CREEK, AZ 85142

33aNPI1063727766assigned 08/18/2010

33bProvider typePediatrics Physician

28Total paid$2.53M

24GClaims71,898

24DCodes billed34

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#35 of 235

Median peer was paid$164K

This provider vs. median15×

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	4,735	$95K
2019	11,279	$370K
2020	12,214	$390K
2021	10,929	$438K
2022	11,901	$456K
2023	11,894	$470K
2024incomplete	8,946	$316K

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	32%	16,637	15,657	$823K
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	29%	10,596	9,962	$742K
90460	Immunization administration through 18 years of age via any route, first or only component	10%	7,550	7,128	$262K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.8%	2,762	2,707	$198K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.3%	2,529	2,444	$184K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.2%	1,928	1,813	$131K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.9%	965	940	$74K
92552		1.2%	3,137	2,867	$29K
96127		<1%	5,836	4,723	$19K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,269	1,243	$16K
96160		<1%	5,936	5,661	$15K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	787	771	$13K

22 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	552	$12K
99203	Doctor's office visit, new patient (routine)	<1%	56	$4K
94760		<1%	2,593	$3K
99173		<1%	3,280	$3K
90472	Immunization administration, each additional vaccine (list separately)	<1%	77	$2K
90670		<1%	867	$1K
90461		<1%	33	$589.66
90686		<1%	2,026	$257.34
90723		<1%	410	$204.59
90648		<1%	806	$135.92
90716		<1%	83	$86.56
90633		<1%	120	$55.16
90707		<1%	97	$51.30
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	49	$45.69
90651		<1%	217	$30.86
96161		<1%	16	$21.06
99000		<1%	43	$11.78
90680		<1%	232	$0.70
90656		0%	54	$0.00
99072		0%	295	$0.00
90734		0%	46	$0.00
G9920	Screening performed and negative	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 officialPORTILLO, ELMER (CFO)