Physician
Ponderosa Family Care, LLC
Ponderosa Family Care, LLC was paid $494K by Medicaid between Jan 2018 and Apr 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoPONDEROSA FAMILY CARE, LLC
PAYSON, AZ 85541
PAYSON, AZ 85541
33aNPI1144535626assigned 08/09/2010
33bProvider typePediatrics Physician
28Total paid$494K
24GClaims9,468
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#84 of 235
Median peer was paid$164K
This provider vs. median3.0×
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 | 2,060 | $82K | |
| 2019 | 1,566 | $82K | |
| 2020 | 1,923 | $99K | |
| 2021 | 2,316 | $97K | |
| 2022 | 1,249 | $78K | |
| 2023 | 265 | $35K | |
| 2024incomplete | 89 | $21K |
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 | 48% | 4,338 | 3,644 | $239K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 26% | 605 | 494 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,625 | 1,459 | $52K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 192 | 166 | $16K |
| 99401 | 2.5% | 419 | 396 | $12K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.2% | 849 | 391 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 124 | 122 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 289 | 246 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 185 | 173 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 248 | 235 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 43 | 40 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 84 | 82 | $2K |
11 more codes
| 0012A | <1% | 72 | $2K | |
| 0011A | <1% | 77 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 96 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $981.65 |
| 99201 | <1% | 20 | $569.78 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | $400.94 |
| 36415 | Collection of venous blood by venipuncture | <1% | 55 | $143.39 |
| 99307 | <1% | 17 | $105.08 | |
| 99000 | <1% | 28 | $23.08 | |
| 91301 | <1% | 40 | $0.20 |
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 officialMICHELS, ALAN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Ponderosa Family Care, LLC | Payson, AZ | $2.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.