Plaza Medica Mexicana P.C

Plaza Medica Mexicana P.C was paid $240K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoPLAZA MEDICA MEXICANA P.C
PHOENIX, AZ 85031

33aNPI1376789768assigned 01/06/2009

33bProvider typeHealth Service Clinic/Center

28Total paid$240K

24GClaims3,485

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Health Service Clinic/Center providers in Arizona

Rank by total paid#12 of 24

Median peer was paid$170K

This provider vs. median1.4×

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	881	$51K
2019	683	$40K
2020	436	$26K
2021	395	$26K
2022	410	$33K
2023	412	$39K
2024incomplete	268	$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	72%	2,723	2,109	$173K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	28%	686	539	$66K
81002		<1%	76	70	$178.75

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 officialSAINOS, OSCAR (OWNER)