Providence General Medicine, PC

Providence General Medicine, PC was paid $8.83M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoPROVIDENCE GENERAL MEDICINE, PC
PHOENIX, AZ 85020

33aNPI1164693974assigned 03/19/2008

33bProvider typeInternal Medicine Physician

28Total paid$8.83M

24GClaims216,330

24DCodes billed74

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#12 of 395

Median peer was paid$68K

This provider vs. median130×

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	50,305	$1.91M
2019	45,168	$1.45M
2020	31,032	$1.13M
2021	24,252	$1.06M
2022	25,053	$1.20M
2023	23,181	$1.16M
2024incomplete	17,339	$912K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	69,139	60,494	$3.50M
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	22%	28,779	25,842	$1.92M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.8%	6,006	5,906	$514K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	5.6%	5,737	508	$494K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.4%	6,135	6,035	$473K
90460	Immunization administration through 18 years of age via any route, first or only component	4.8%	13,462	13,180	$427K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.5%	4,010	3,932	$305K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.2%	2,697	2,623	$190K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.3%	1,293	1,245	$111K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.2%	1,162	1,101	$108K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.1%	474	467	$96K
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	1.0%	878	840	$89K

62 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	7,171	$84K
99215	Doctor's office visit, returning patient (complex)	<1%	686	$58K
92551		<1%	7,870	$57K
95117		<1%	6,733	$57K
90461		<1%	1,959	$50K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,504	$49K
90682		<1%	1,004	$39K
99203	Doctor's office visit, new patient (routine)	<1%	432	$30K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,383	$24K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,756	$19K
90688		<1%	3,357	$18K
92552		<1%	537	$11K
82962		<1%	6,081	$11K
95115		<1%	1,563	$11K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	803	$11K
99173		<1%	6,324	$10K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	936	$7K
94760		<1%	7,191	$5K
99385		<1%	39	$4K
96127		<1%	939	$4K
20550		<1%	97	$4K
81002		<1%	1,398	$4K
0011A		<1%	104	$4K
0012A		<1%	106	$4K
99381		<1%	45	$3K
96160		<1%	1,280	$3K
90620		<1%	921	$3K
90670		<1%	1,996	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	$2K
0064A		<1%	66	$2K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	144	$2K
90651		<1%	328	$1K
90472	Immunization administration, each additional vaccine (list separately)	<1%	103	$1K
93000		<1%	74	$901.60
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	59	$831.97
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	465	$767.28
36415	Collection of venous blood by venipuncture	<1%	191	$448.49
99000		<1%	692	$398.63
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	172	$391.39
90734		<1%	790	$331.89
96161		<1%	254	$256.11
90658		<1%	48	$175.82
97802		<1%	17	$114.63
90715		<1%	307	$90.04
81025		<1%	12	$33.28
90687		<1%	258	$2.25
90698		<1%	1,207	$0.02
90680		<1%	976	$0.01
90744		<1%	506	$0.01
90686		0%	1,213	$0.00
G0008	Administration of influenza virus vaccine	0%	61	$0.00
90716		0%	189	$0.00
90697		0%	46	$0.00
90696		0%	107	$0.00
90619		0%	145	$0.00
90649		0%	1,034	$0.00
A4614	Peak expiratory flow rate meter, hand held	0%	794	$0.00
90633		0%	575	$0.00
90707		0%	201	$0.00
90671		0%	49	$0.00
90710		0%	115	$0.00
90700		0%	64	$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 officialSICALO OBORSKY, GERARDO (MEDICAL DIRECTOR)