Clinic
Banner Physician Specialists Arizona LLC
Banner Physician Specialists Arizona LLC was paid $14.77M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
PHOENIX, AZ 85012
PHOENIX, AZ 85012
33aNPI1316228802assigned 08/29/2011
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$14.77M
24GClaims267,508
24DCodes billed118
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Arizona
Rank by total paid#13 of 76
Median peer was paid$899K
This provider vs. median16×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more
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 | 26,533 | $1.20M | |
| 2019 | 30,977 | $1.44M | |
| 2020 | 34,961 | $1.78M | |
| 2021 | 43,069 | $2.54M | |
| 2022 | 45,598 | $2.73M | |
| 2023 | 46,757 | $2.72M | |
| 2024incomplete | 39,613 | $2.36M |
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 | 17% | 40,817 | 38,939 | $2.48M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 51,257 | 20,944 | $2.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 44,360 | 40,503 | $1.85M |
| 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 | 8.1% | 12,683 | 12,375 | $1.19M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.6% | 17,447 | 9,948 | $1.12M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 16,741 | 16,089 | $1.04M |
| 99223 | Prolong inpt eval add15 m | 4.9% | 6,632 | 6,292 | $727K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.8% | 7,162 | 6,837 | $561K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.0% | 3,605 | 3,459 | $298K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.5% | 2,624 | 1,660 | $219K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 2,708 | 2,518 | $210K |
| 97803 | 1.4% | 4,904 | 4,777 | $209K |
106 more codes
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.1% | 1,247 | $165K |
| 43775 | <1% | 299 | $143K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,744 | $130K |
| 97802 | <1% | 1,899 | $124K | |
| 99254 | <1% | 906 | $121K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,256 | $119K |
| 73630 | <1% | 4,300 | $116K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 788 | $95K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,008 | $93K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,564 | $87K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 742 | $86K |
| 99255 | <1% | 506 | $82K | |
| 96130 | <1% | 803 | $77K | |
| 99221 | <1% | 1,163 | $74K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,346 | $63K |
| 20610 | <1% | 1,282 | $62K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 348 | $53K |
| 73030 | <1% | 2,105 | $47K | |
| 99205 | Prolong outpt/office vis | <1% | 427 | $43K |
| 95251 | <1% | 1,460 | $39K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 270 | $38K |
| 96131 | <1% | 407 | $38K | |
| 73564 | <1% | 1,115 | $35K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 182 | $35K |
| 97804 | <1% | 1,564 | $33K | |
| 93970 | <1% | 1,190 | $26K | |
| 11102 | <1% | 341 | $26K | |
| 73610 | <1% | 882 | $26K | |
| 95816 | <1% | 364 | $25K | |
| 99443 | <1% | 519 | $23K | |
| 99442 | <1% | 662 | $22K | |
| 93971 | <1% | 1,407 | $22K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 134 | $22K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 341 | $21K |
| 20611 | <1% | 248 | $19K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 434 | $19K |
| 93000 | <1% | 1,465 | $19K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,526 | $18K |
| 95806 | <1% | 300 | $18K | |
| 96137 | <1% | 285 | $13K | |
| 99441 | <1% | 354 | $12K | |
| 95800 | <1% | 193 | $12K | |
| 72110 | <1% | 295 | $12K | |
| 96136 | <1% | 298 | $11K | |
| 17110 | <1% | 128 | $11K | |
| 29580 | <1% | 472 | $11K | |
| 11730 | <1% | 83 | $10K | |
| 43235 | <1% | 110 | $10K | |
| 96101 | <1% | 149 | $9K | |
| 94060 | <1% | 582 | $8K | |
| 73562 | <1% | 289 | $8K | |
| 73130 | <1% | 309 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 584 | $7K |
| 11104 | <1% | 70 | $6K | |
| 73502 | <1% | 214 | $6K | |
| 31624 | <1% | 83 | $6K | |
| 97597 | <1% | 250 | $6K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 547 | $5K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,239 | $5K |
| 76536 | <1% | 92 | $5K | |
| 95953 | <1% | 30 | $5K | |
| 73110 | <1% | 167 | $4K | |
| 96150 | <1% | 80 | $4K | |
| 99460 | <1% | 58 | $4K | |
| 11721 | <1% | 174 | $4K | |
| 11100 | <1% | 55 | $3K | |
| 93880 | <1% | 146 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 35 | $2K |
| 72050 | <1% | 50 | $2K | |
| 73565 | <1% | 101 | $2K | |
| 95811 | <1% | 28 | $2K | |
| 64615 | <1% | 15 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 39 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 25 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 25 | $2K |
| 73560 | <1% | 85 | $2K | |
| 95819 | <1% | 18 | $1K | |
| 17000 | <1% | 28 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 54 | $1K |
| 84703 | <1% | 155 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 93922 | <1% | 25 | $1K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 66 | $906.33 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $861.18 |
| 94729 | <1% | 85 | $824.77 | |
| 94726 | <1% | 75 | $819.92 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 122 | $664.51 |
| 31623 | <1% | 12 | $536.61 | |
| 81025 | <1% | 70 | $523.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $514.85 |
| 72170 | <1% | 12 | $300.46 | |
| 91200 | <1% | 14 | $294.14 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $269.82 |
| 81003 | <1% | 111 | $240.99 | |
| 93356 | <1% | 12 | $235.80 | |
| 77080 | <1% | 12 | $227.46 | |
| 99459 | <1% | 13 | $206.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 97 | $110.63 |
| 99499 | <1% | 835 | $5.44 | |
| 1160F | <1% | 373 | $0.48 | |
| 1159F | <1% | 357 | $0.37 | |
| 3074F | <1% | 332 | $0.29 | |
| 1111F | <1% | 159 | $0.24 | |
| 3078F | <1% | 119 | $0.08 | |
| 3079F | <1% | 41 | $0.04 |
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 officialBIRDI, SHIVA (CEO)
Parent organizationBANNER MEDICAL GROUP
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.