Physician
Athena Medical Group
Athena Medical Group was paid $108K by Medicaid between Mar 2019 and Oct 2024, across 13 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 48% of everything it billed.
33Billing provider infoATHENA MEDICAL GROUP
PHOENIX, AZ 85048
PHOENIX, AZ 85048
33aNPI1164918124assigned 07/02/2018
33bProvider typeFamily Medicine Physician
28Total paid$108K
24GClaims4,665
24DCodes billed13
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#198 of 442
Median peer was paid$77K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 476 | $2K | |
| 2020 | 13 | $64.93 | |
| 2021 | 31 | $52.65 | |
| 2022 | 575 | $31K | |
| 2023 | 2,032 | $50K | |
| 2024incomplete | 1,538 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 48% | 1,761 | 529 | $52K |
| 99310 | Prolong nursin fac eval 15m | 33% | 699 | 157 | $35K |
| 99307 | 15% | 1,054 | 300 | $16K | |
| 99336 | 1.5% | 148 | 107 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 27 | 13 | $1K |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | 12 | $712.15 |
| 99328 | <1% | 15 | 12 | $359.07 | |
| 99491 | Ccm add 20min | <1% | 26 | 25 | $136.45 |
| 99497 | <1% | 15 | 14 | $135.81 | |
| 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 | <1% | 31 | 12 | $52.65 |
| 97610 | 0% | 559 | 108 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 285 | 189 | $0.00 |
1 more codes
| 99348 | 0% | 33 | $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 officialGAITHER, YANCEY (MANAGING PARTNER)