Clinic
ST. Luke's Pediatrics
ST. Luke's Pediatrics was paid $31.61M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 48% of everything it billed.
33Billing provider infoST. LUKE'S PEDIATRICS
PHOENIX, AZ 85008
PHOENIX, AZ 85008
33aNPI1306078514assigned 08/20/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$31.61M
24GClaims286,909
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#3 of 104
Median peer was paid$181K
This provider vs. median175×
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 | 8,031 | $438K | |
| 2019 | 22,482 | $2.56M | |
| 2020 | 23,423 | $3.87M | |
| 2021 | 25,645 | $4.17M | |
| 2022 | 36,208 | $4.98M | |
| 2023 | 71,460 | $8.14M | |
| 2024incomplete | 99,660 | $7.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 48% | 11,522 | 8,347 | $15.03M |
| 95144 | 18% | 40,302 | 4,185 | $5.59M | |
| 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 | 12% | 48,635 | 37,859 | $3.87M |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.8% | 7,072 | 7,052 | $1.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 23,592 | 19,721 | $1.37M |
| 99401 | 3.7% | 36,864 | 27,549 | $1.16M | |
| 99354 | 2.0% | 6,870 | 5,493 | $634K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,190 | 5,093 | $306K |
| 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 | <1% | 2,219 | 2,202 | $250K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,148 | 5,075 | $213K |
| 92100 | <1% | 2,165 | 2,156 | $171K | |
| 93922 | <1% | 2,137 | 2,131 | $166K |
62 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,491 | $119K |
| 95117 | <1% | 11,161 | $103K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,145 | $100K |
| 94060 | <1% | 2,199 | $96K | |
| 93000 | <1% | 6,563 | $95K | |
| 76775 | <1% | 2,249 | $84K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 778 | $76K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 757 | $69K |
| 81025 | <1% | 8,012 | $61K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,101 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 621 | $45K |
| 99385 | <1% | 416 | $43K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 389 | $40K |
| 69210 | <1% | 1,081 | $39K | |
| 94664 | <1% | 2,058 | $32K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,407 | $31K |
| 95115 | <1% | 3,563 | $29K | |
| 96160 | <1% | 10,223 | $28K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,184 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 929 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,351 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 279 | $18K |
| 92552 | <1% | 610 | $16K | |
| 99383 | <1% | 166 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 868 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 288 | $11K |
| 99386 | <1% | 101 | $10K | |
| 81002 | <1% | 3,164 | $9K | |
| 99384 | <1% | 73 | $7K | |
| 99382 | <1% | 73 | $6K | |
| 94760 | <1% | 2,661 | $6K | |
| 93880 | <1% | 29 | $5K | |
| 90461 | <1% | 229 | $3K | |
| 93976 | <1% | 26 | $3K | |
| 99000 | <1% | 1,805 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 76 | $3K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 40 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,093 | $2K |
| 99173 | <1% | 645 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 60 | $762.58 |
| 83014 | <1% | 69 | $569.68 | |
| 90688 | <1% | 108 | $232.18 | |
| 90686 | <1% | 3,423 | $193.44 | |
| 82962 | <1% | 48 | $128.52 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 2,118 | $86.11 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $10.83 |
| 90734 | 0% | 49 | $0.00 | |
| 90633 | 0% | 419 | $0.00 | |
| 90670 | 0% | 101 | $0.00 | |
| 90713 | 0% | 249 | $0.00 | |
| 90649 | 0% | 125 | $0.00 | |
| 90715 | 0% | 105 | $0.00 | |
| 90658 | 0% | 151 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90620 | 0% | 40 | $0.00 | |
| 90716 | 0% | 43 | $0.00 | |
| 90744 | 0% | 56 | $0.00 | |
| 90657 | 0% | 12 | $0.00 | |
| 90680 | 0% | 13 | $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 officialDALOTTO, GUSTAVO (OWNER/CEO)
Parent organizationARIZONA FAMILY CLINICS CORP