Providers Direct, PLLC

Providers Direct, PLLC was paid $22K by Medicaid between Jan 2018 and Sep 2018, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoPROVIDERS DIRECT, PLLC
TUCSON, AZ 85711

33aNPI1073795852assigned 12/03/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$22K

24GClaims803

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Arizona

Rank by total paid#73 of 191

Median peer was paid$9K

This provider vs. median2.3×

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	803	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	62%	283	228	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	197	157	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.9%	22	17	$1K
99490	Ccm add 20min	3.5%	206	157	$746.72
36415	Collection of venous blood by venipuncture	1.0%	95	90	$218.56

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 officialSCHMALING, JOHN (MEMBER)