Physician
Carelon Medical Partners of Arizona PC
Carelon Medical Partners of Arizona PC was paid $7K by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCARELON MEDICAL PARTNERS OF ARIZONA PC
DES MOINES, IA 50313
DES MOINES, IA 50313
33aNPI1073987178assigned 11/30/2015
33bProvider typeFamily Medicine Physician
28Total paid$7K
24GClaims35,360
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#207 of 275
Median peer was paid$69K
This provider vs. median0.1×
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 | 6,831 | $119.40 | |
| 2019 | 10,558 | $690.14 | |
| 2020 | 8,047 | $0.00 | |
| 2021 | 2,684 | $3K | |
| 2022 | 1,644 | $0.00 | |
| 2023 | 3,225 | $0.00 | |
| 2024incomplete | 2,371 | $3K |
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 | 40% | 7,124 | 6,593 | $3K |
| 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 | 36% | 6,395 | 5,647 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.9% | 529 | 523 | $587.31 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.8% | 594 | 593 | $580.71 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 797 | 790 | $282.16 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,584 | 1,555 | $55.25 |
| 99000 | <1% | 45 | 42 | $19.18 | |
| 99441 | <1% | 829 | 792 | $16.59 | |
| 82043 | <1% | 467 | 457 | $13.96 | |
| 99442 | 0% | 838 | 799 | $0.00 | |
| 90756 | 0% | 322 | 319 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 27 | 25 | $0.00 |
38 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 265 | $0.00 |
| 1159F | 0% | 20 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 72 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 563 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 175 | $0.00 |
| 90661 | 0% | 60 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 29 | $0.00 |
| 3078F | 0% | 90 | $0.00 | |
| 90715 | 0% | 110 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 981 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 81 | $0.00 |
| 82570 | 0% | 249 | $0.00 | |
| 99499 | 0% | 318 | $0.00 | |
| 81002 | 0% | 15 | $0.00 | |
| 1160F | 0% | 20 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 36 | $0.00 |
| 81025 | 0% | 12 | $0.00 | |
| 81001 | 0% | 1,901 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 3,553 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,737 | $0.00 |
| 90686 | 0% | 279 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 290 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 1,282 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,535 | $0.00 |
| 3074F | 0% | 132 | $0.00 | |
| 99386 | 0% | 29 | $0.00 | |
| 99443 | 0% | 1,174 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 82 | $0.00 |
| 90674 | 0% | 247 | $0.00 | |
| 99385 | 0% | 285 | $0.00 | |
| 91301 | 0% | 36 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 94760 | 0% | 45 | $0.00 | |
| 3079F | 0% | 16 | $0.00 | |
| 0011A | 0% | 35 | $0.00 | |
| 90732 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $0.00 |
| 3075F | 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 officialALBION, TIMOTHY (OWNER)
Parent organizationCAREMORE MEDICAL ASSOCIATES, PC
| Provider | Location | Paid |
|---|---|---|
| Carelon Medical Partners of North Carolina PC | Raleigh, NC | $398K |
| Albion Medical Group of Nevada, PC | Las Vegas, NV | $268K |
| Carelon Medical Partners, PC | Nashville, TN | $5K |
| Carelon Medical Partners of Texas PA | Houston, TX | $139.76 |
| Carelon Medical Partners of Arizona, P.C. | Tucson, AZ | $0.00 |
| Albion Medical Partners of California, PC | Pasadena, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.