Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Patton, Mark

Patton, Mark was paid $462K by Medicaid between Jan 2018 and Sep 2021, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoPATTON, MARK
PHOENIX, AZ 85031
33aNPI1215932850assigned 06/20/2005
33bProvider typePediatrics Physician
28Total paid$462K
24GClaims15,557
24DCodes billed37
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#85 of 235
Median peer was paid$164K
This provider vs. median2.8×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20187,385$196K
20195,939$180K
20201,178$43K
20211,055$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 1,668 1,570 $116K
90460 Immunization administration through 18 years of age via any route, first or only component 18% 2,434 2,371 $84K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,814 1,718 $80K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 762 686 $51K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.9% 581 551 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.2% 520 508 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.3% 381 363 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 438 315 $6K
94010 <1% 138 126 $4K
92551 <1% 1,015 966 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 174 164 $2K
99188 <1% 164 157 $2K
25 more codes
99383 <1% 25 $2K
0001A <1% 36 $1K
0002A <1% 21 $840.00
96160 <1% 244 $783.21
96161 <1% 200 $667.48
99173 <1% 863 $368.17
83655 <1% 74 $364.57
85018 <1% 184 $252.88
96127 <1% 175 $66.85
81002 <1% 27 $63.07
90744 <1% 136 $23.59
94760 <1% 488 $17.07
90686 <1% 572 $0.03
90651 <1% 171 $0.01
90670 0% 408 $0.00
90700 0% 513 $0.00
91300 0% 78 $0.00
90713 0% 335 $0.00
90648 0% 411 $0.00
90633 0% 81 $0.00
90707 0% 44 $0.00
90680 0% 186 $0.00
90688 0% 23 $0.00
36416 0% 134 $0.00
90716 0% 39 $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.