Physician
1ST Care Medical Clinic
1ST Care Medical Clinic was paid $6.42M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider info1ST CARE MEDICAL CLINIC
PHOENIX, AZ 85021
PHOENIX, AZ 85021
33aNPI1407805088assigned 05/09/2006
33bProvider typeFamily Medicine Physician
28Total paid$6.42M
24GClaims103,325
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#18 of 442
Median peer was paid$77K
This provider vs. median83×
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 | 13,068 | $607K | |
| 2019 | 13,289 | $579K | |
| 2020 | 11,108 | $544K | |
| 2021 | 18,907 | $1.08M | |
| 2022 | 13,702 | $898K | |
| 2023 | 15,269 | $994K | |
| 2024incomplete | 17,982 | $1.71M |
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 | 42% | 37,918 | 31,749 | $2.66M |
| 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% | 28,322 | 23,703 | $1.48M |
| 95144 | 7.9% | 3,734 | 427 | $505K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.6% | 1,805 | 356 | $425K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.2% | 3,800 | 3,744 | $401K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 2,128 | 1,974 | $212K |
| 95923 | 1.5% | 937 | 903 | $95K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.3% | 395 | 388 | $84K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 5,930 | 5,216 | $75K |
| 95921 | <1% | 929 | 898 | $63K | |
| 95816 | <1% | 185 | 88 | $39K | |
| 93922 | <1% | 550 | 534 | $36K |
44 more codes
| 93923 | <1% | 310 | $31K | |
| 99457 | <1% | 808 | $29K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 328 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,612 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 289 | $24K |
| 92546 | <1% | 275 | $20K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 246 | $18K |
| 99454 | <1% | 482 | $18K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 226 | $17K |
| 99458 | <1% | 520 | $14K | |
| 99205 | Prolong outpt/office vis | <1% | 91 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 118 | $10K |
| 20611 | <1% | 136 | $9K | |
| 92540 | <1% | 110 | $9K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 5,167 | $9K |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | <1% | 119 | $7K |
| 90658 | <1% | 589 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 165 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 388 | $5K |
| 0012A | <1% | 157 | $5K | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | <1% | 90 | $5K |
| 95117 | <1% | 513 | $5K | |
| 0011A | <1% | 155 | $4K | |
| 99385 | <1% | 42 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 122 | $3K |
| 0064A | <1% | 77 | $3K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 23 | $3K |
| 96112 | <1% | 29 | $2K | |
| 92551 | <1% | 248 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 97 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 88 | $2K |
| 96132 | <1% | 20 | $2K | |
| 92547 | <1% | 199 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 111 | $1K |
| 90686 | <1% | 811 | $786.65 | |
| 99453 | <1% | 58 | $777.59 | |
| 99173 | <1% | 154 | $361.74 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $206.70 |
| 82962 | <1% | 119 | $186.12 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | <1% | 15 | $99.16 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 15 | $78.31 |
| 81002 | <1% | 14 | $35.68 | |
| 97802 | <1% | 15 | $24.48 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 1,513 | $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 officialTOLOUI, SHAWN (PRESIDENT / OWNER)