Northwest Rheumatology PLLC

Northwest Rheumatology PLLC was paid $730K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoNORTHWEST RHEUMATOLOGY PLLC
TUCSON, AZ 85704

33aNPI1083669949assigned 05/22/2006

33bProvider typeRheumatology Physician

28Total paid$730K

24GClaims13,748

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Rheumatology Physician providers in Arizona

Rank by total paid#3 of 23

Median peer was paid$58K

This provider vs. median13×

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	2,261	$106K
2019	1,978	$92K
2020	1,863	$107K
2021	2,186	$125K
2022	1,784	$97K
2023	2,012	$102K
2024incomplete	1,664	$101K

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	50%	7,103	6,367	$365K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	45%	5,017	4,691	$329K
99244	Office or other outpatient consultation, moderate to high complexity	1.3%	66	66	$10K
99245		<1%	32	32	$6K
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	<1%	45	44	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	223	193	$3K
20610		<1%	127	95	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	359	338	$3K
99205	Prolong outpt/office vis	<1%	25	25	$3K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	310	291	$2K
96401		<1%	16	16	$703.78
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	12	12	$641.04

3 more codes

99213	Doctor's office visit, returning patient (routine)	<1%	15	$420.85
J1020	Injection, methylprednisolone acetate, 20 mg	<1%	93	$288.18
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	305	$164.37

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 officialTOK, ULKER (OWNER/PRESIDENT)