Banner Hospital Based Physicians Arizona LLC
Banner Hospital Based Physicians Arizona LLC was paid $77.64M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 36% of everything it billed.
GILBERT, AZ 85234
Next to other Multi-Specialty Clinic/Center providers in Arizona
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 136,625 | $7.72M | |
| 2019 | 144,592 | $8.33M | |
| 2020 | 157,852 | $10.28M | |
| 2021 | 191,363 | $14.38M | |
| 2022 | 163,028 | $11.33M | |
| 2023 | 199,868 | $13.84M | |
| 2024incomplete | 164,172 | $11.76M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 36% | 439,320 | 203,714 | $27.94M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 263,335 | 121,069 | $11.59M |
| 99223 | Prolong inpt eval add15 m | 14% | 91,179 | 87,366 | $10.63M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 11% | 63,149 | 24,235 | $8.64M |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.3% | 105,793 | 102,422 | $7.19M |
| 99220 | 3.3% | 28,338 | 26,696 | $2.55M | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.6% | 38,499 | 17,587 | $2.04M |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 20,662 | 19,994 | $1.79M |
| 99217 | 2.0% | 39,270 | 36,428 | $1.58M | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 12,870 | 12,102 | $1.30M |
| 99221 | <1% | 7,097 | 6,460 | $448K | |
| 99226 | <1% | 8,174 | 6,691 | $404K |
43 more codes
| 99219 | <1% | 5,755 | $393K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 6,910 | $330K |
| 99225 | <1% | 4,138 | $140K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,862 | $140K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,927 | $97K |
| 99497 | <1% | 1,857 | $69K | |
| 71045 | Radiologic examination, chest; single view | <1% | 9,389 | $67K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,049 | $53K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 539 | $37K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 380 | $26K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 86 | $23K |
| 90870 | <1% | 238 | $19K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 473 | $19K |
| 70498 | <1% | 207 | $15K | |
| 99218 | <1% | 288 | $14K | |
| 74174 | <1% | 151 | $13K | |
| 70496 | <1% | 144 | $10K | |
| 99255 | <1% | 54 | $9K | |
| 99254 | <1% | 55 | $8K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 820 | $7K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 82 | $5K |
| 00840 | <1% | 13 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 113 | $4K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 86 | $4K |
| 70486 | <1% | 85 | $3K | |
| 74018 | <1% | 367 | $3K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 106 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 54 | $2K |
| 99224 | <1% | 85 | $2K | |
| 93971 | <1% | 73 | $1K | |
| 93970 | <1% | 39 | $1K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 49 | $1K |
| 90836 | <1% | 14 | $685.78 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 37 | $654.45 |
| 71250 | <1% | 12 | $546.35 | |
| 74230 | <1% | 34 | $491.92 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $425.75 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | $420.31 |
| 77080 | <1% | 13 | $49.30 | |
| 99499 | <1% | 17 | $0.09 | |
| 99407 | 0% | 135 | $0.00 | |
| 99406 | 0% | 14 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 38 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.