Southwest I.D. & Medical Clinic, LC

Southwest I.D. & Medical Clinic, LC was paid $9K by Medicaid between Jan 2018 and Jun 2023, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoSOUTHWEST I.D. & MEDICAL CLINIC, LC
PRESCOTT VALLEY, AZ 86314

33aNPI1275563975assigned 07/05/2006

33bProvider typeInfectious Disease Physician

28Total paid$9K

24GClaims208

24DCodes billed1

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Infectious Disease Physician providers in Arizona

Rank by total paid#46 of 53

Median peer was paid$438K

This provider vs. median0.0×

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	37	$938.36
2021	60	$3K
2022	52	$3K
2023	59	$3K

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	100%	208	183	$9K

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 officialJETLY, ALPANA (MANAGER)