Hospital
Maricopa County Special Health Care District
Maricopa County Special Health Care District was paid $19.60M by Medicaid between Jan 2018 and Dec 2024, across 133 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
PHOENIX, AZ 85041
PHOENIX, AZ 85041
33aNPI1336568187assigned 04/09/2014
33bProvider typeGeneral Acute Care Hospital
28Total paid$19.60M
24GClaims300,507
24DCodes billed133
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Arizona
Rank by total paid#29 of 78
Median peer was paid$12.21M
This provider vs. median1.6×
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 | 34,744 | $1.93M | |
| 2019 | 48,969 | $2.73M | |
| 2020 | 36,350 | $2.63M | |
| 2021 | 42,835 | $2.98M | |
| 2022 | 54,319 | $3.68M | |
| 2023 | 41,596 | $3.24M | |
| 2024incomplete | 41,694 | $2.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 69,439 | 53,937 | $19.55M |
| T1016 | Case management, each 15 minutes | <1% | 657 | 564 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 48,473 | 30,969 | $14K |
| 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 | <1% | 31,170 | 21,718 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 3,950 | 3,219 | $2K |
| 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% | 2,662 | 2,188 | $1K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,040 | 556 | $824.87 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,861 | 1,018 | $709.06 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 929 | 835 | $549.77 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,197 | 1,968 | $535.27 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 613 | 602 | $451.31 |
| 0064A | <1% | 101 | 90 | $326.00 |
121 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 435 | $295.37 |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,734 | $283.88 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,118 | $102.29 |
| 90686 | <1% | 3,010 | $99.34 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 558 | $81.97 |
| 0012A | <1% | 59 | $80.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,287 | $67.52 |
| 99442 | <1% | 217 | $60.84 | |
| T1002 | Rn services, up to 15 minutes | <1% | 76 | $58.20 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,668 | $57.01 |
| 96152 | <1% | 197 | $49.67 | |
| 80053 | Comprehensive metabolic panel | <1% | 9,593 | $47.06 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 842 | $37.87 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 252 | $37.26 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 263 | $23.04 |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 435 | $19.86 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 191 | $15.63 |
| 80061 | Lipid panel | 0% | 6,440 | $0.00 |
| 91322 | 0% | 135 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,053 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 873 | $0.00 |
| 90715 | 0% | 1,709 | $0.00 | |
| 1159F | 0% | 3,007 | $0.00 | |
| 86480 | 0% | 502 | $0.00 | |
| 81003 | 0% | 2,627 | $0.00 | |
| 80074 | 0% | 956 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 3,316 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 593 | $0.00 |
| 81025 | 0% | 2,004 | $0.00 | |
| 82570 | 0% | 1,823 | $0.00 | |
| 90670 | 0% | 391 | $0.00 | |
| 82274 | 0% | 139 | $0.00 | |
| 1160F | 0% | 2,037 | $0.00 | |
| 90649 | 0% | 166 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 41 | $0.00 |
| 85007 | 0% | 506 | $0.00 | |
| H2027 | Psychoeducational service, per 15 minutes | 0% | 210 | $0.00 |
| 83655 | 0% | 69 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 800 | $0.00 |
| 3078F | 0% | 2,062 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 3077F | 0% | 465 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 30 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 423 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 1,420 | $0.00 |
| 84439 | 0% | 634 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 940 | $0.00 |
| 86682 | 0% | 18 | $0.00 | |
| 83721 | 0% | 85 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 83540 | 0% | 89 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 71 | $0.00 |
| 99201 | 0% | 47 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 31 | $0.00 |
| 85610 | 0% | 28 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 69 | $0.00 |
| 87338 | 0% | 49 | $0.00 | |
| 96158 | 0% | 75 | $0.00 | |
| 90662 | 0% | 39 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 42 | $0.00 |
| 87481 | 0% | 48 | $0.00 | |
| 90653 | 0% | 25 | $0.00 | |
| 86703 | 0% | 46 | $0.00 | |
| 87631 | 0% | 118 | $0.00 | |
| 81513 | 0% | 48 | $0.00 | |
| 87186 | 0% | 27 | $0.00 | |
| 90750 | 0% | 16 | $0.00 | |
| 87430 | 0% | 95 | $0.00 | |
| 90732 | 0% | 353 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 1,314 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 2,769 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 5,340 | $0.00 |
| 86592 | 0% | 2,165 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 3,316 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,261 | $0.00 |
| 1125F | 0% | 640 | $0.00 | |
| 82043 | 0% | 1,756 | $0.00 | |
| 1126F | 0% | 2,066 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 4,033 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 1,098 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 7,552 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 8,448 | $0.00 |
| 81001 | 0% | 928 | $0.00 | |
| 3048F | 0% | 42 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 71 | $0.00 |
| 86780 | 0% | 708 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 152 | $0.00 |
| 82607 | 0% | 244 | $0.00 | |
| 86704 | 0% | 265 | $0.00 | |
| 87340 | 0% | 263 | $0.00 | |
| 83550 | 0% | 88 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 181 | $0.00 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 203 | $0.00 |
| 3079F | 0% | 460 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 18,797 | $0.00 |
| 86803 | 0% | 1,083 | $0.00 | |
| 3074F | 0% | 1,556 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 679 | $0.00 |
| 85027 | 0% | 507 | $0.00 | |
| 87205 | 0% | 14 | $0.00 | |
| 90674 | 0% | 534 | $0.00 | |
| 82728 | 0% | 88 | $0.00 | |
| 90656 | 0% | 315 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 102 | $0.00 |
| 87081 | 0% | 31 | $0.00 | |
| 3075F | 0% | 682 | $0.00 | |
| 86706 | 0% | 280 | $0.00 | |
| 84480 | 0% | 83 | $0.00 | |
| 90480 | 0% | 136 | $0.00 | |
| 3044F | 0% | 79 | $0.00 | |
| 87077 | 0% | 27 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 48 | $0.00 |
| 82746 | 0% | 92 | $0.00 | |
| 0011A | 0% | 25 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 13 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 13 | $0.00 |
| 85652 | 0% | 38 | $0.00 | |
| 90677 | 0% | 18 | $0.00 | |
| 0031A | 0% | 25 | $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 officialFOWLER, PAMELA (DIRECTOR OF REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| Maricopa County Special Health Care District | Phoenix, AZ | $251.46M |
| Maricopa County Special Health Care District | Avondale, AZ | $18.89M |
| Maricopa County Special Health Care District | Chandler, AZ | $17.70M |
| Maricopa County Special Health Care District | Phoenix, AZ | $15.77M |
| Maricopa County Special Health Care District | Phoenix, AZ | $15.39M |
| Maricopa County Special Health Care District | Peoria, AZ | $9.69M |
| Maricopa County Special Heallth Care District | Mesa, AZ | $24K |
| Maricopa County Special Health Care District | Phoenix, AZ | $15K |
| Maricopa County Special Health Care District | Phoenix, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.