Banner Health
Banner Health was paid $1.48M by Medicaid between Jan 2018 and Sep 2022, across 97 billing codes. Its largest line is 99284, emergency room visit (serious) — 26% of everything it billed.
PAYSON, AZ 85541
Next to other General Acute Care Hospital 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 | 30,003 | $1.43M | |
| 2019 | 61 | $18K | |
| 2022 | 522 | $40K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 1,432 | 1,245 | $384K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 23% | 1,040 | 846 | $343K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 1,032 | 945 | $223K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 8.2% | 248 | 225 | $122K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 7.3% | 174 | 154 | $109K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.1% | 701 | 647 | $90K |
| 96361 | Intravenous infusion, hydration; each additional hour | 3.4% | 857 | 702 | $51K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.4% | 376 | 313 | $35K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.7% | 93 | 74 | $25K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 123 | 106 | $12K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 586 | 531 | $11K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | 12 | $10K |
85 more codes
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 88 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 510 | $9K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 58 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 2,071 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 349 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $4K |
| G0378 | Hospital observation service, per hour | <1% | 305 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 631 | $3K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 430 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 39 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 424 | $2K |
| 74018 | <1% | 100 | $2K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 191 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 64 | $2K |
| 73562 | <1% | 58 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 984 | $2K |
| 73030 | <1% | 67 | $1K | |
| 76801 | <1% | 17 | $933.93 | |
| 76830 | Ultrasound, transvaginal | <1% | 65 | $676.76 |
| 87077 | <1% | 144 | $629.70 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 872 | $614.18 |
| 73630 | <1% | 34 | $522.73 | |
| 73130 | <1% | 28 | $367.60 | |
| 81001 | <1% | 822 | $352.30 | |
| 71045 | Radiologic examination, chest; single view | <1% | 574 | $331.73 |
| 81025 | <1% | 342 | $278.08 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,132 | $277.51 |
| 84702 | <1% | 34 | $238.82 | |
| 73610 | <1% | 31 | $204.28 | |
| 59025 | Fetal non-stress test | <1% | 67 | $196.88 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 245 | $171.41 |
| 86850 | <1% | 24 | $169.93 | |
| 83690 | <1% | 529 | $164.43 | |
| 83605 | <1% | 374 | $161.00 | |
| 83880 | <1% | 129 | $105.25 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 240 | $55.69 |
| 96376 | <1% | 159 | $50.40 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 78 | $38.26 |
| 85027 | <1% | 209 | $30.69 | |
| 85730 | <1% | 168 | $22.14 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 468 | $20.92 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 320 | $18.30 |
| 83735 | <1% | 361 | $17.75 | |
| 87088 | <1% | 328 | $13.05 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 708 | $9.98 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 291 | $7.20 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 177 | $7.08 |
| 87186 | <1% | 108 | $6.06 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 323 | $0.76 |
| J2550 | Injection, promethazine hcl, up to 50 mg | 0% | 30 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 135 | $0.00 |
| 81003 | 0% | 413 | $0.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 316 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 57 | $0.00 |
| 85610 | 0% | 330 | $0.00 | |
| 82947 | 0% | 386 | $0.00 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 123 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 102 | $0.00 |
| 86900 | 0% | 40 | $0.00 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 68 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 14 | $0.00 |
| 90715 | 0% | 30 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 508 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 58 | $0.00 |
| C9113 | Injection, pantoprazole sodium, per vial | 0% | 14 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 333 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 51 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 195 | $0.00 |
| 84484 | 0% | 752 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 593 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 142 | $0.00 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 0% | 13 | $0.00 |
| 80320 | 0% | 325 | $0.00 | |
| J8597 | Antiemetic drug, oral, not otherwise specified | 0% | 203 | $0.00 |
| A9270 | Non-covered item or service | 0% | 1,150 | $0.00 |
| 84703 | 0% | 68 | $0.00 | |
| 87807 | 0% | 47 | $0.00 | |
| 87040 | 0% | 215 | $0.00 | |
| 87081 | 0% | 74 | $0.00 | |
| J2060 | Injection, lorazepam, 2 mg | 0% | 42 | $0.00 |
| 80329 | 0% | 135 | $0.00 | |
| 86901 | 0% | 41 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 71 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 19 | $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.