Phoenix Medical Group, P.C.

Phoenix Medical Group, P.C. was paid $7.02M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoPHOENIX MEDICAL GROUP, P.C.
PEORIA, AZ 85381

33aNPI1316952971assigned 07/30/2006

33bProvider typeInternal Medicine Physician

28Total paid$7.02M

24GClaims144,014

24DCodes billed40

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Arizona

Rank by total paid#14 of 395

Median peer was paid$68K

This provider vs. median103×

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	35,913	$1.57M
2019	23,113	$1.04M
2020	22,601	$1.19M
2021	25,954	$1.49M
2022	18,432	$908K
2023	9,659	$468K
2024incomplete	8,342	$351K

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	40%	56,787	50,616	$2.79M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	19,116	17,020	$703K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	9.7%	13,190	4,192	$682K
95810	Polysomnography; sleep staging with 4 or more additional parameters	5.7%	969	914	$403K
95811		5.6%	963	889	$396K
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	4.9%	4,051	3,785	$342K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.4%	8,947	3,283	$311K
94060		3.0%	7,060	6,472	$209K
94010		2.7%	10,438	9,729	$187K
94729		2.3%	4,796	4,520	$164K
94726		2.1%	4,454	4,182	$148K
99255		2.0%	947	868	$137K

28 more codes

99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.7%	1,007	$118K
99244	Office or other outpatient consultation, moderate to high complexity	1.2%	573	$81K
11721		1.1%	3,635	$80K
99203	Doctor's office visit, new patient (routine)	<1%	1,247	$69K
11056		<1%	921	$33K
99215	Doctor's office visit, returning patient (complex)	<1%	391	$32K
31624		<1%	365	$27K
99254		<1%	206	$26K
99223	Prolong inpt eval add15 m	<1%	413	$14K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	962	$14K
90674		<1%	1,051	$13K
95806		<1%	159	$10K
95251		<1%	302	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	185	$4K
99245		<1%	21	$3K
83036	Hemoglobin; glycosylated (A1C)	<1%	254	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	125	$1K
11719		<1%	187	$980.42
94664		<1%	79	$929.19
99307		<1%	53	$895.37
11755		<1%	14	$849.77
11055		<1%	30	$800.56
11720		<1%	43	$672.25
99222	Initial hospital care, per day, moderate complexity	<1%	16	$664.59
94618		<1%	17	$431.39
93000		<1%	13	$116.81
81002		<1%	14	$25.85
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	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 officialORR, ROBERT (DIRECTOR)