Canyon Medical Clinic LLC

Canyon Medical Clinic LLC was paid $54K by Medicaid between Aug 2019 and Oct 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoCANYON MEDICAL CLINIC LLC
BLACK CANYON CITY, AZ 85324

33aNPI1356834642assigned 06/11/2018

33bProvider typeFamily Medicine Physician

28Total paid$54K

24GClaims1,185

24DCodes billed4

24AFirst – last monthAug 2019 – Oct 2022

Compared with peers

Next to other Family Medicine Physician providers in Arizona

Rank by total paid#246 of 442

Median peer was paid$77K

This provider vs. median0.7×

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
2019	97	$2K
2020	150	$3K
2021	509	$25K
2022	429	$24K

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	82%	936	539	$44K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	222	173	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	13	13	$858.57
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	14	12	$307.86

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 officialMOTL, JOSHUA (PHYSICIAN ASSISTANT)