Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

NPI: 1316228802 · PHOENIX, AZ 85012 · Multi-Specialty Clinic/Center · NPI assigned 08/29/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$14.77M
Total Medicaid Paid
267,508
Total Claims
215,058
Beneficiaries
118
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date08/29/2011

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
NORTH COLORADO FAMILY MEDICINE GREELEY CO $5.11M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 39,613 $2.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,817 38,939 $2.48M
99232 Subsequent hospital care, per day, moderate complexity 51,257 20,944 $2.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,360 40,503 $1.85M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,683 12,375 $1.19M
99233 Prolong inpt eval add15 m 17,447 9,948 $1.12M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,741 16,089 $1.04M
99223 Prolong inpt eval add15 m 6,632 6,292 $727K
99222 Initial hospital care, per day, moderate complexity 7,162 6,837 $561K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,605 3,459 $298K
90837 Psychotherapy, 53 minutes with patient 2,624 1,660 $219K
99215 Prolong outpt/office vis 2,708 2,518 $210K
97803 4,904 4,777 $209K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,247 1,182 $165K
43775 299 289 $143K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,744 1,699 $130K
97802 1,899 1,852 $124K
99254 906 898 $121K
90832 Psychotherapy, 30 minutes with patient 2,256 1,480 $119K
73630 4,300 3,899 $116K
90791 Psychiatric diagnostic evaluation 788 763 $95K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,008 1,882 $93K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,564 2,512 $87K
90792 Psychiatric diagnostic evaluation with medical services 742 723 $86K
99255 506 496 $82K
96130 803 760 $77K
99221 1,163 1,114 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,346 2,740 $63K
20610 1,282 1,150 $62K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 348 193 $53K
73030 2,105 1,978 $47K
99205 Prolong outpt/office vis 427 409 $43K
95251 1,460 1,446 $39K
99244 Office or other outpatient consultation, moderate to high complexity 270 270 $38K
96131 407 369 $38K
73564 1,115 927 $35K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 182 172 $35K
97804 1,564 1,495 $33K
93970 1,190 1,076 $26K
11102 341 324 $26K
73610 882 792 $26K
95816 364 326 $25K
99443 519 499 $23K
99442 662 651 $22K
93971 1,407 1,325 $22K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 134 131 $22K
77067 Screening mammography, bilateral, including computer-aided detection 341 324 $21K
20611 248 158 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 434 412 $19K
93000 1,465 1,446 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,526 2,289 $18K
95806 300 282 $18K
96137 285 283 $13K
99441 354 352 $12K
95800 193 193 $12K
72110 295 292 $12K
96136 298 296 $11K
17110 128 120 $11K
29580 472 214 $11K
11730 83 83 $10K
43235 110 108 $10K
96101 149 114 $9K
94060 582 536 $8K
73562 289 259 $8K
73130 309 262 $7K
71046 Radiologic examination, chest; 2 views 584 559 $7K
11104 70 68 $6K
73502 214 205 $6K
31624 83 75 $6K
97597 250 163 $6K
J1040 Injection, methylprednisolone acetate, 80 mg 547 512 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,239 1,179 $5K
76536 92 86 $5K
95953 30 13 $5K
73110 167 137 $4K
96150 80 70 $4K
99460 58 58 $4K
11721 174 168 $4K
11100 55 43 $3K
93880 146 116 $3K
99238 Hospital discharge day management, 30 minutes or less 35 35 $2K
72050 50 50 $2K
73565 101 96 $2K
95811 28 25 $2K
64615 15 15 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 39 39 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 25 24 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 25 24 $2K
73560 85 68 $2K
95819 18 17 $1K
17000 28 28 $1K
99239 Hospital discharge day management, more than 30 minutes 14 14 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 54 50 $1K
84703 155 152 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $1K
93922 25 25 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 66 64 $906.33
90834 Psychotherapy, 45 minutes with patient 18 14 $861.18
94729 85 84 $824.77
94726 75 74 $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) 122 120 $664.51
31623 12 12 $536.61
81025 70 67 $523.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 26 $514.85
72170 12 12 $300.46
91200 14 13 $294.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $269.82
81003 111 99 $240.99
93356 12 12 $235.80
77080 12 12 $227.46
99459 13 13 $206.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 97 92 $110.63
99499 835 724 $5.44
1160F 373 347 $0.48
1159F 357 327 $0.37
3074F 332 319 $0.29
1111F 159 145 $0.24
3078F 119 116 $0.08
3079F 41 41 $0.04