NP / PA
Old Pueblo Healthcare LLC
Old Pueblo Healthcare LLC was paid $3.86M by Medicaid between Jan 2018 and Dec 2022, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoOLD PUEBLO HEALTHCARE LLC
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1306890793assigned 05/20/2006
33bProvider typeNurse Practitioner
28Total paid$3.86M
24GClaims96,702
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Nurse Practitioner providers in Arizona
Rank by total paid#6 of 61
Median peer was paid$14K
This provider vs. median281×
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 | 5,637 | $227K | |
| 2019 | 12,928 | $401K | |
| 2020 | 24,541 | $892K | |
| 2021 | 28,986 | $1.25M | |
| 2022 | 24,610 | $1.08M |
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 | 62% | 40,490 | 35,543 | $2.40M |
| 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% | 12,614 | 11,390 | $566K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 1,931 | 1,592 | $115K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 1,338 | 1,256 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 1,148 | 974 | $87K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 2,110 | 2,007 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 956 | 920 | $78K |
| 99401 | 1.9% | 2,629 | 2,497 | $73K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 551 | 541 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 380 | 372 | $33K |
| 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% | 323 | 307 | $31K |
| 87428 | <1% | 399 | 367 | $26K |
73 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 265 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,178 | $17K |
| 96127 | <1% | 4,725 | $13K | |
| 95923 | <1% | 186 | $13K | |
| 94690 | <1% | 389 | $12K | |
| 93000 | <1% | 930 | $11K | |
| 99490 | Ccm add 20min | <1% | 1,581 | $11K |
| 99457 | <1% | 485 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,749 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 656 | $9K |
| 99385 | <1% | 95 | $8K | |
| 95921 | <1% | 187 | $8K | |
| 81002 | <1% | 2,617 | $6K | |
| 99454 | <1% | 210 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 371 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 106 | $5K |
| 94060 | <1% | 109 | $4K | |
| 94760 | <1% | 3,475 | $4K | |
| 99402 | <1% | 77 | $4K | |
| 90756 | <1% | 235 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $4K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 102 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 89 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 306 | $2K |
| 93922 | <1% | 38 | $2K | |
| 93880 | <1% | 13 | $2K | |
| 99443 | <1% | 19 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 275 | $1K |
| 99381 | <1% | 13 | $1K | |
| 0013A | <1% | 29 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 19 | $1K |
| 94200 | <1% | 86 | $1K | |
| 83037 | <1% | 265 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 116 | $1K |
| 99491 | Ccm add 20min | <1% | 72 | $918.61 |
| 90688 | <1% | 123 | $915.51 | |
| 96138 | <1% | 56 | $749.08 | |
| 99497 | <1% | 252 | $743.29 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $696.02 |
| 80305 | <1% | 84 | $677.65 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 43 | $509.15 |
| 80061 | Lipid panel | <1% | 38 | $506.66 |
| 0012A | <1% | 13 | $444.00 | |
| 96119 | <1% | 17 | $383.19 | |
| 81003 | <1% | 125 | $296.91 | |
| 90715 | <1% | 14 | $260.51 | |
| 80053 | Comprehensive metabolic panel | <1% | 27 | $192.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 167 | $183.49 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $158.70 |
| 96132 | <1% | 35 | $116.31 | |
| 99397 | <1% | 29 | $95.42 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 184 | $27.65 |
| 99173 | <1% | 15 | $15.24 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 41 | $14.55 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | $13.78 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 22 | $10.12 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 49 | $8.76 |
| 96160 | <1% | 17 | $8.31 | |
| 99406 | <1% | 152 | $7.74 | |
| 90670 | <1% | 28 | $6.64 | |
| 3008F | <1% | 1,741 | $0.01 | |
| 1160F | <1% | 2,178 | $0.01 | |
| 3074F | 0% | 216 | $0.00 | |
| 91301 | 0% | 17 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
| 3079F | 0% | 19 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 33 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,303 | $0.00 |
| 3078F | 0% | 153 | $0.00 | |
| 4004F | 0% | 198 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 59 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 25 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 35 | $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 officialO'NEIL, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Prescott Healthcare Solutions LLC | Prescott, AZ | $13.24M |
| Nashoba Vision Associates INC | Groton, MA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.