Medicaid Provider Spending

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

GLENDALE PEDIATRICS LLC

NPI: 1336335983 · GLENDALE, AZ 85301 · Family Medicine Physician · NPI assigned 09/18/2007

$10.52M
Total Medicaid Paid
217,136
Total Claims
183,112
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, ENRIQUE (MEDICAL OFFICER)
NPI Enumeration Date09/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,953 $1.02M
2019 29,493 $874K
2020 27,215 $1.06M
2021 30,502 $1.60M
2022 36,126 $2.24M
2023 35,534 $2.13M
2024 26,313 $1.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,249 38,710 $3.55M
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 8,432 921 $2.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,286 27,030 $1.61M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,102 4,085 $366K
90460 Immunization administration through 18 years of age via any route, first or only component 10,019 9,807 $347K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,148 4,118 $334K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,692 2,669 $219K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 974 960 $211K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,984 1,967 $179K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,211 2,165 $170K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,521 1,489 $153K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,466 1,441 $134K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,725 1,654 $115K
99385 1,121 1,104 $110K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,306 5,525 $96K
36415 Collection of venous blood by venipuncture 25,394 24,015 $72K
99383 572 569 $53K
99384 418 407 $42K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,201 1,174 $33K
96127 3,694 3,127 $32K
99386 289 283 $32K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,122 1,846 $29K
99000 14,059 12,570 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,129 1,105 $22K
99381 258 252 $21K
95117 1,662 707 $18K
95115 1,923 823 $17K
90688 1,161 1,058 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 455 274 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 300 268 $10K
81002 3,511 3,236 $10K
99382 100 97 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 674 614 $8K
0012A 173 171 $8K
99215 Prolong outpt/office vis 78 73 $7K
94760 10,397 8,821 $7K
0011A 166 165 $6K
99173 6,791 6,394 $5K
0003A 64 63 $4K
0071A 46 44 $4K
81025 517 496 $4K
99397 65 64 $4K
90670 1,347 1,273 $3K
93000 266 266 $3K
95012 173 163 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 221 209 $3K
90662 142 132 $2K
0072A 32 32 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 190 154 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 38 38 $1K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 28 28 $924.69
69210 15 15 $710.56
90715 286 268 $367.41
G0008 Administration of influenza virus vaccine 343 298 $323.23
83014 56 54 $248.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 56 53 $197.38
94664 21 14 $185.66
90620 540 491 $116.66
90734 733 680 $114.80
90744 266 242 $24.83
G0009 Administration of pneumococcal vaccine 69 69 $21.33
90651 1,019 947 $15.43
G0444 Annual depression screening, 5 to 15 minutes 30 27 $15.18
94761 31 16 $14.60
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 95 79 $13.35
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 22 14 $9.30
91301 214 186 $0.01
3074F 280 264 $0.00
3075F 27 27 $0.00
90698 711 662 $0.00
3044F 275 251 $0.00
90680 575 543 $0.00
90716 46 41 $0.00
90686 1,764 1,591 $0.00
3048F 157 143 $0.00
96161 29 29 $0.00
90674 98 83 $0.00
91307 12 12 $0.00
90677 21 12 $0.00
4010F 31 27 $0.00
3079F 29 28 $0.00
90696 41 41 $0.00
3008F 32 31 $0.00
90619 20 16 $0.00
90633 396 365 $0.00
90685 89 78 $0.00
3078F 384 356 $0.00
4013F 29 26 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 25 $0.00
1159F 87 80 $0.00
90648 12 12 $0.00
90710 43 41 $0.00
1160F 53 51 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 128 116 $0.00
90707 27 27 $0.00
90672 13 13 $0.00
1124F 12 12 $0.00