Physician
Gila Valley Clinic, PC
Gila Valley Clinic, PC was paid $2.28M by Medicaid between Jan 2018 and Oct 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoGILA VALLEY CLINIC, PC
SAFFORD, AZ 85546
SAFFORD, AZ 85546
33aNPI1255510228assigned 10/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.28M
24GClaims49,694
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#43 of 442
Median peer was paid$77K
This provider vs. median30×
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 | 13,330 | $555K | |
| 2019 | 14,061 | $1.01M | |
| 2020 | 2,084 | $16K | |
| 2021 | 7,148 | $24K | |
| 2022 | 8,841 | $404K | |
| 2023 | 3,041 | $231K | |
| 2024incomplete | 1,189 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 60% | 6,146 | 4,584 | $1.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 15,643 | 13,692 | $345K |
| 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 | 13% | 9,511 | 8,430 | $295K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 2,684 | 2,475 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 1,756 | 1,682 | $63K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 3,257 | 3,094 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 1,030 | 979 | $31K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 375 | 348 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 419 | 372 | $5K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 109 | 66 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 42 | 41 | $3K |
| 99188 | <1% | 128 | 124 | $2K |
31 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 208 | $2K |
| 90686 | <1% | 878 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 25 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 213 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 144 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 235 | $930.28 |
| 99460 | <1% | 13 | $869.86 | |
| 87428 | <1% | 43 | $277.10 | |
| 81025 | <1% | 85 | $235.03 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $221.69 |
| 81003 | <1% | 437 | $40.21 | |
| 90647 | 0% | 1,124 | $0.00 | |
| 90723 | 0% | 1,215 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 96127 | 0% | 458 | $0.00 | |
| 99174 | 0% | 188 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 15 | $0.00 |
| 99000 | 0% | 106 | $0.00 | |
| 90651 | 0% | 47 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 90670 | 0% | 1,587 | $0.00 | |
| 90681 | 0% | 554 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 502 | $0.00 |
| 90715 | 0% | 13 | $0.00 | |
| 90633 | 0% | 340 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 25 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 21 | $0.00 |
| 90461 | 0% | 33 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90707 | 0% | 15 | $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 officialJONES, SUSAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Valley Family Clinic INC | Pauls Valley, OK | $204K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.