Clinic
Banner Childrens Banner Health Clinic LLC
Banner Childrens Banner Health Clinic LLC was paid $29.69M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoBANNER CHILDRENS BANNER HEALTH CLINIC LLC
PHOENIX, AZ 85012
PHOENIX, AZ 85012
33aNPI1407191216assigned 12/05/2012
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$29.69M
24GClaims601,371
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Arizona
Rank by total paid#7 of 76
Median peer was paid$899K
This provider vs. median33×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 87,633 | $4.39M |
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 | 26% | 90,875 | 84,309 | $7.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 107,709 | 101,797 | $6.29M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 86,943 | 85,228 | $3.84M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 38,517 | 36,501 | $3.29M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 33,206 | 32,739 | $3.03M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 21,713 | 21,547 | $1.98M |
| 90461 | 3.7% | 29,434 | 28,020 | $1.08M | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 8,018 | 7,971 | $798K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 17,378 | 16,801 | $324K |
| 99381 | <1% | 2,927 | 2,875 | $283K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,482 | 7,149 | $278K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,595 | 12,104 | $209K |
72 more codes
| 87428 | <1% | 2,904 | $184K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,274 | $179K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,951 | $74K |
| 92551 | <1% | 10,889 | $61K | |
| 99383 | <1% | 506 | $53K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,309 | $24K |
| 99173 | <1% | 12,423 | $19K | |
| 90474 | <1% | 1,058 | $18K | |
| 0071A | <1% | 190 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 392 | $14K |
| 0072A | <1% | 153 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 75 | $9K |
| 99174 | <1% | 1,601 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 94 | $7K |
| 99382 | <1% | 56 | $6K | |
| 99443 | <1% | 63 | $5K | |
| 94760 | <1% | 3,082 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 168 | $3K |
| 90473 | <1% | 115 | $2K | |
| 96161 | <1% | 698 | $2K | |
| 94664 | <1% | 109 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 62 | $2K |
| 90670 | <1% | 13,818 | $2K | |
| 90671 | <1% | 1,050 | $1K | |
| 81003 | <1% | 701 | $1K | |
| 87807 | <1% | 75 | $997.22 | |
| 96380 | <1% | 44 | $775.36 | |
| 90686 | <1% | 19,602 | $723.37 | |
| 90480 | <1% | 27 | $696.52 | |
| 99051 | <1% | 53 | $664.84 | |
| 87420 | <1% | 33 | $461.20 | |
| 96127 | <1% | 93 | $443.72 | |
| 85018 | <1% | 163 | $439.17 | |
| 90698 | <1% | 10,989 | $335.89 | |
| 99441 | <1% | 31 | $281.50 | |
| 99177 | <1% | 53 | $243.19 | |
| 90621 | <1% | 51 | $239.51 | |
| 90680 | <1% | 7,829 | $143.69 | |
| 90677 | <1% | 357 | $139.13 | |
| 99000 | <1% | 39 | $100.34 | |
| 90633 | <1% | 4,389 | $98.53 | |
| 90656 | <1% | 712 | $94.76 | |
| 90696 | <1% | 493 | $93.93 | |
| 90651 | <1% | 938 | $67.88 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 32 | $63.55 |
| 90744 | <1% | 4,235 | $39.56 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 123 | $19.32 |
| 90700 | <1% | 884 | $16.97 | |
| 99499 | <1% | 1,824 | $12.71 | |
| 90674 | <1% | 243 | $11.42 | |
| 94761 | <1% | 13 | $10.89 | |
| 1160F | <1% | 4,874 | $2.82 | |
| 1159F | <1% | 5,040 | $2.48 | |
| 1111F | <1% | 4,189 | $2.22 | |
| 4040F | <1% | 2,982 | $1.09 | |
| 3074F | <1% | 2,213 | $0.78 | |
| 3078F | <1% | 2,009 | $0.72 | |
| G9921 | No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified | <1% | 37 | $0.04 |
| 4037F | <1% | 94 | $0.02 | |
| 90697 | 0% | 611 | $0.00 | |
| 90716 | 0% | 2,071 | $0.00 | |
| 91307 | 0% | 63 | $0.00 | |
| 90619 | 0% | 109 | $0.00 | |
| 90707 | 0% | 2,067 | $0.00 | |
| 90734 | 0% | 479 | $0.00 | |
| 90710 | 0% | 520 | $0.00 | |
| 90685 | 0% | 1,399 | $0.00 | |
| 90648 | 0% | 949 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 548 | $0.00 |
| 90715 | 0% | 212 | $0.00 | |
| 90713 | 0% | 15 | $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 officialBIRDI, SHIVA (CEO)
Parent organizationBANNER MEDICAL GROUP
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.