Prisma Community Care

Prisma Community Care was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 44% of everything it billed.

33Billing provider infoPRISMA COMMUNITY CARE
PHOENIX, AZ 85004

33aNPI1104929504assigned 09/07/2006

33bProvider typeClinical Psychologist

28Total paid$1.14M

24GClaims19,196

24DCodes billed27

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinical Psychologist providers in Arizona

Rank by total paid#4 of 20

Median peer was paid$34K

This provider vs. median33×

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	1,542	$77K
2019	2,171	$64K
2020	897	$52K
2021	1,187	$89K
2022	2,714	$146K
2023	5,395	$314K
2024incomplete	5,290	$399K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	44%	5,545	2,825	$498K
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	14%	2,474	2,362	$156K
H0004	Behavioral health counseling and therapy, per 15 minutes	14%	2,594	1,260	$154K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.6%	2,008	1,866	$99K
T1016	Case management, each 15 minutes	7.7%	3,763	2,105	$88K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.9%	575	437	$44K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.5%	287	281	$40K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1.5%	383	369	$18K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.2%	304	227	$14K
90792	Psychiatric diagnostic evaluation with medical services	<1%	67	67	$11K
H0031	Mental health assessment, by non-physician	<1%	75	64	$6K
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%	71	71	$4K

15 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	192	$3K
99401		<1%	147	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	25	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	36	$884.93
80053	Comprehensive metabolic panel	<1%	195	$497.90
90472	Immunization administration, each additional vaccine (list separately)	<1%	29	$128.58
99000		<1%	77	$103.15
36415	Collection of venous blood by venipuncture	<1%	149	$89.02
80061	Lipid panel	<1%	25	$84.75
83036	Hemoglobin; glycosylated (A1C)	<1%	25	$66.10
84443	Thyroid stimulating hormone (TSH)	<1%	29	$50.41
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	29	$23.29
82670		0%	28	$0.00
84403		0%	28	$0.00
90611		0%	36	$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 officialSIMON, CASEY (AUTHORIZED OFFICIAL)