Hope Diabetes Center, LLC

Hope Diabetes Center, LLC was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoHOPE DIABETES CENTER, LLC
MESA, AZ 85204

33aNPI1104865757assigned 06/06/2006

33bProvider typeMedical Physician Assistant

28Total paid$1.84M

24GClaims28,386

24DCodes billed70

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Medical Physician Assistant providers in Arizona

Rank by total paid#3 of 32

Median peer was paid$16K

This provider vs. median118×

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	2,169	$74K
2019	2,540	$89K
2020	3,056	$117K
2021	4,636	$138K
2022	3,758	$173K
2023	3,739	$288K
2024incomplete	8,488	$958K

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	36%	11,985	9,953	$658K
36478		17%	458	348	$310K
36465		13%	307	226	$240K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.7%	4,215	3,699	$179K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.9%	1,672	1,500	$127K
93970		4.3%	605	601	$80K
93971		3.7%	834	626	$69K
37252		1.4%	50	37	$25K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.2%	393	392	$23K
93925		1.1%	158	156	$21K
37253		<1%	49	36	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	384	309	$11K

58 more codes

99401		<1%	390	$10K
93922		<1%	204	$10K
99204	Doctor's office visit, new patient (more involved)	<1%	78	$6K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	68	$6K
36471		<1%	44	$5K
75710		<1%	41	$4K
99497		<1%	121	$4K
93923		<1%	42	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	268	$3K
95923		<1%	36	$3K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	53	$2K
90792	Psychiatric diagnostic evaluation with medical services	<1%	12	$2K
95921		<1%	36	$2K
36415	Collection of venous blood by venipuncture	<1%	1,085	$2K
99223	Prolong inpt eval add15 m	<1%	14	$2K
99152		<1%	55	$2K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	53	$2K
99000		<1%	385	$2K
96160		<1%	420	$1K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	53	$1K
97161		<1%	12	$1K
99153	Mod sedat endo service >5yrs	<1%	53	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	$1K
99490	Ccm add 20min	<1%	250	$1K
0011A		<1%	35	$1K
99457		<1%	146	$1K
73630		<1%	36	$958.10
0012A		<1%	24	$921.60
76937		<1%	46	$821.27
93000		<1%	83	$698.03
99454		<1%	149	$479.08
11721		<1%	15	$447.73
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	43	$243.27
81002		<1%	128	$138.09
94761		<1%	186	$135.85
G0444	Annual depression screening, 5 to 15 minutes	<1%	44	$51.12
99453		<1%	12	$11.74
99499		<1%	66	$0.24
3288F		0%	296	$0.00
99072		0%	75	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	93	$0.00
1159F		0%	72	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	70	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	19	$0.00
1160F		0%	71	$0.00
1158F		0%	43	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	19	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	23	$0.00
1124F		0%	19	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	13	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	20	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	55	$0.00
1170F		0%	1,194	$0.00
1101F		0%	249	$0.00
1123F		0%	38	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	52	$0.00
1111F		0%	41	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	16	$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 officialSEGRERA-GRABANIA, MARILEY (PRESIDENT)