Physician
Pediatrics GPS, INC
Pediatrics GPS, INC was paid $6.22M by Medicaid between Aug 2021 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoPEDIATRICS GPS, INC
TUCSON, AZ 85704
TUCSON, AZ 85704
33aNPI1336758861assigned 07/30/2020
33bProvider typePediatrics Physician
28Total paid$6.22M
24GClaims143,480
24DCodes billed49
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#15 of 235
Median peer was paid$164K
This provider vs. median38×
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 | |
|---|---|---|---|
| 2021 | 16,081 | $693K | |
| 2022 | 45,303 | $2.10M | |
| 2023 | 45,041 | $1.87M | |
| 2024incomplete | 37,055 | $1.56M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 25,319 | 23,576 | $1.46M |
| 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 | 23% | 17,525 | 16,468 | $1.44M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 17,871 | 17,462 | $778K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 8,880 | 8,775 | $731K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 7,142 | 7,055 | $600K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.4% | 6,544 | 6,462 | $585K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 5,155 | 4,858 | $377K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,320 | 4,182 | $59K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,327 | 2,303 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,298 | 2,267 | $32K |
| 96160 | <1% | 6,608 | 6,503 | $18K | |
| 99051 | <1% | 1,082 | 1,042 | $16K |
37 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 693 | $15K |
| 99381 | <1% | 146 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 331 | $11K |
| 96127 | <1% | 2,261 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $5K |
| 92551 | <1% | 8,978 | $3K | |
| 96161 | <1% | 1,569 | $2K | |
| 99188 | <1% | 140 | $2K | |
| 81002 | <1% | 311 | $890.11 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 63 | $780.96 |
| 69210 | <1% | 15 | $692.72 | |
| 90473 | <1% | 16 | $341.28 | |
| 99173 | <1% | 4,066 | $341.19 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 25 | $220.79 |
| 90716 | <1% | 1,188 | $141.19 | |
| 90686 | <1% | 5,387 | $58.32 | |
| 90670 | <1% | 1,864 | $32.12 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 50 | $31.10 |
| 90723 | <1% | 383 | $29.33 | |
| 90633 | <1% | 1,035 | $25.34 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 12 | $21.84 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 12 | $19.54 |
| 90680 | <1% | 1,862 | $16.73 | |
| 90647 | <1% | 535 | $15.29 | |
| 90672 | <1% | 114 | $7.68 | |
| 90707 | <1% | 1,172 | $1.87 | |
| 90671 | <1% | 1,668 | $1.52 | |
| 90734 | <1% | 1,095 | $0.01 | |
| 90651 | <1% | 1,786 | $0.01 | |
| 90700 | 0% | 89 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 380 | $0.00 |
| 90715 | 0% | 99 | $0.00 | |
| 90621 | 0% | 47 | $0.00 | |
| 90697 | 0% | 473 | $0.00 | |
| 90620 | 0% | 144 | $0.00 | |
| 90696 | 0% | 103 | $0.00 | |
| 90656 | 0% | 254 | $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 officialMACKNESS, KELLY (CREDENTIALING LEAD)