Medicaid Provider Spending

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

BANNER CHILDRENS BANNER HEALTH CLINIC LLC

NPI: 1407191216 · PHOENIX, AZ 85012 · Multi-Specialty Clinic/Center · NPI assigned 12/05/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$29.69M
Total Medicaid Paid
601,371
Total Claims
571,463
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date12/05/2012

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $14.77M
NORTH COLORADO FAMILY MEDICINE GREELEY CO $5.11M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59,070 $3.33M
2019 64,842 $3.21M
2020 77,601 $3.13M
2021 93,500 $4.62M
2022 100,645 $5.54M
2023 118,080 $5.47M
2024 87,633 $4.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 90,875 84,309 $7.58M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 107,709 101,797 $6.29M
90460 Immunization administration through 18 years of age via any route, first or only component 86,943 85,228 $3.84M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 38,517 36,501 $3.29M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 33,206 32,739 $3.03M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 21,713 21,547 $1.98M
90461 29,434 28,020 $1.08M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,018 7,971 $798K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,378 16,801 $324K
99381 2,927 2,875 $283K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,482 7,149 $278K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,595 12,104 $209K
87428 2,904 2,825 $184K
90472 Immunization administration, each additional vaccine (list separately) 6,274 6,024 $179K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,951 2,931 $74K
92551 10,889 10,344 $61K
99383 506 502 $53K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,309 968 $24K
99173 12,423 11,812 $19K
90474 1,058 990 $18K
0071A 190 177 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 392 387 $14K
0072A 153 139 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 75 72 $9K
99174 1,601 1,589 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 94 91 $7K
99382 56 56 $6K
99443 63 59 $5K
94760 3,082 2,727 $3K
99215 Prolong outpt/office vis 27 27 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 168 149 $3K
90473 115 113 $2K
96161 698 655 $2K
94664 109 107 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 62 54 $2K
90670 13,818 12,575 $2K
90671 1,050 1,021 $1K
81003 701 653 $1K
87807 75 75 $997.22
96380 44 44 $775.36
90686 19,602 17,877 $723.37
90480 27 27 $696.52
99051 53 44 $664.84
87420 33 33 $461.20
96127 93 91 $443.72
85018 163 159 $439.17
90698 10,989 10,088 $335.89
99441 31 29 $281.50
99177 53 53 $243.19
90621 51 51 $239.51
90680 7,829 7,209 $143.69
90677 357 297 $139.13
99000 39 37 $100.34
90633 4,389 4,075 $98.53
90656 712 512 $94.76
90696 493 470 $93.93
90651 938 898 $67.88
J0696 Injection, ceftriaxone sodium, per 250 mg 32 28 $63.55
90744 4,235 3,941 $39.56
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 123 115 $19.32
90700 884 843 $16.97
99499 1,824 1,756 $12.71
90674 243 235 $11.42
94761 13 12 $10.89
1160F 4,874 4,508 $2.82
1159F 5,040 4,641 $2.48
1111F 4,189 3,851 $2.22
4040F 2,982 2,788 $1.09
3074F 2,213 2,162 $0.78
3078F 2,009 1,962 $0.72
G9921 No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified 37 36 $0.04
4037F 94 92 $0.02
90697 611 556 $0.00
90716 2,071 1,957 $0.00
91307 63 61 $0.00
90619 109 102 $0.00
90707 2,067 1,950 $0.00
90734 479 434 $0.00
90710 520 489 $0.00
90685 1,399 1,147 $0.00
90648 949 907 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 548 523 $0.00
90715 212 195 $0.00
90713 15 15 $0.00