NP / PA
Carelock, LLC
Carelock, LLC was paid $9.00M by Medicaid between Jan 2020 and Dec 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoCARELOCK, LLC
PHOENIX, AZ 85050
PHOENIX, AZ 85050
33aNPI1245795459assigned 02/01/2019
33bProvider typeMedical Physician Assistant
28Total paid$9.00M
24GClaims161,892
24DCodes billed88
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Medical Physician Assistant providers in Arizona
Rank by total paid#1 of 32
Median peer was paid$16K
This provider vs. median578×
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 | |
|---|---|---|---|
| 2020 | 10,441 | $414K | |
| 2021 | 19,552 | $924K | |
| 2022 | 46,128 | $2.80M | |
| 2023 | 56,583 | $2.98M | |
| 2024incomplete | 29,188 | $1.88M |
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 | 38% | 53,305 | 42,170 | $3.39M |
| 99493 | 19% | 16,856 | 16,403 | $1.71M | |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 7.6% | 2,149 | 238 | $682K |
| T1016 | Case management, each 15 minutes | 4.6% | 4,555 | 1,459 | $416K |
| 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 | 4.2% | 4,272 | 4,124 | $380K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 4.1% | 7,134 | 5,748 | $373K |
| 99492 | 4.0% | 3,281 | 3,235 | $360K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.9% | 2,523 | 2,480 | $351K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 7,446 | 6,597 | $342K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 2,393 | 2,088 | $209K |
| 80305 | 1.9% | 20,896 | 9,978 | $169K | |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,050 | 334 | $70K |
76 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 866 | $55K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,195 | $48K |
| 99454 | <1% | 1,310 | $45K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 615 | $45K |
| 99457 | <1% | 1,328 | $37K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 226 | $33K |
| 99205 | Prolong outpt/office vis | <1% | 273 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,046 | $25K |
| 99494 | <1% | 576 | $22K | |
| 99484 | <1% | 621 | $19K | |
| 99401 | <1% | 652 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 540 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 213 | $17K |
| 96127 | <1% | 5,098 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,297 | $14K |
| 93000 | <1% | 1,286 | $14K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 67 | $11K |
| 96132 | <1% | 107 | $10K | |
| 94060 | <1% | 190 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 86 | $6K |
| 99458 | <1% | 279 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,385 | $6K |
| 99442 | <1% | 121 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 343 | $4K |
| 99385 | <1% | 38 | $3K | |
| 0031A | <1% | 90 | $3K | |
| 94200 | <1% | 188 | $3K | |
| 95923 | <1% | 32 | $3K | |
| 96138 | <1% | 101 | $3K | |
| 99386 | <1% | 25 | $3K | |
| 87428 | <1% | 148 | $2K | |
| 99490 | Ccm add 20min | <1% | 697 | $2K |
| 95921 | <1% | 31 | $2K | |
| 99441 | <1% | 50 | $2K | |
| 95250 | <1% | 13 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 123 | $2K |
| 86580 | <1% | 194 | $1K | |
| 99453 | <1% | 128 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 66 | $1K |
| 81025 | <1% | 174 | $1K | |
| 90756 | <1% | 71 | $1K | |
| 93922 | <1% | 13 | $829.74 | |
| 81002 | <1% | 411 | $816.09 | |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 406 | $604.74 |
| 99000 | <1% | 347 | $185.30 | |
| 98960 | <1% | 368 | $116.45 | |
| 99173 | <1% | 32 | $70.19 | |
| 99406 | <1% | 514 | $55.33 | |
| 94760 | <1% | 18 | $42.84 | |
| 99001 | <1% | 60 | $33.06 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $15.13 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | $2.27 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,113 | $0.08 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 1,039 | $0.06 |
| 1159F | <1% | 355 | $0.02 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 237 | $0.02 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 650 | $0.01 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 441 | $0.01 |
| 91303 | <1% | 31 | $0.01 | |
| 1160F | 0% | 279 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 68 | $0.00 |
| 3078F | 0% | 42 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 37 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 109 | $0.00 |
| 99408 | 0% | 145 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
| S0215 | Non-emergency transportation; mileage, per mile | 0% | 50 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 864 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 333 | $0.00 |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 339 | $0.00 |
| 3074F | 0% | 69 | $0.00 | |
| 3079F | 0% | 68 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 26 | $0.00 |
| 1126F | 0% | 165 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 43 | $0.00 |
| 1125F | 0% | 414 | $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 officialGILLIAM, JOHN (MEDICAL DIRECTOR)