Physician
Lake Havasu Primary Care PLLC
Lake Havasu Primary Care PLLC was paid $537K by Medicaid between Jan 2018 and Sep 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoLAKE HAVASU PRIMARY CARE PLLC
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
33aNPI1194116186assigned 02/11/2015
33bProvider typeInternal Medicine Physician
28Total paid$537K
24GClaims12,184
24DCodes billed25
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#85 of 395
Median peer was paid$68K
This provider vs. median7.9×
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 | 2,445 | $109K | |
| 2019 | 2,183 | $104K | |
| 2020 | 2,655 | $88K | |
| 2021 | 2,087 | $85K | |
| 2022 | 1,265 | $76K | |
| 2023 | 954 | $50K | |
| 2024incomplete | 595 | $25K |
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 | 82% | 6,687 | 5,767 | $442K |
| 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 | 4.8% | 242 | 241 | $26K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.8% | 1,209 | 1,082 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 581 | 412 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 287 | 233 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 467 | 353 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 107 | 103 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 463 | 265 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 77 | 70 | $3K |
| 0012A | <1% | 62 | 61 | $2K | |
| 0011A | <1% | 72 | 72 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 219 | 213 | $2K |
13 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 213 | $2K |
| 81002 | <1% | 454 | $1K | |
| 93000 | <1% | 66 | $841.66 | |
| 86308 | <1% | 217 | $634.31 | |
| 82962 | <1% | 181 | $437.13 | |
| 80061 | Lipid panel | <1% | 44 | $335.71 |
| 36415 | Collection of venous blood by venipuncture | <1% | 118 | $261.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 80 | $149.72 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $66.50 |
| 91301 | 0% | 52 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 103 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 68 | $0.00 |
| 3288F | 0% | 102 | $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 officialSIDIQI, ESSA (OWNER/MEMBER/MANAGER)