Clinic
Banner Primary Care Physicians Arizona LLC
Banner Primary Care Physicians Arizona LLC was paid $23.95M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoBANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
PHOENIX, AZ 85012
PHOENIX, AZ 85012
33aNPI1417238908assigned 08/29/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$23.95M
24GClaims466,465
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#4 of 104
Median peer was paid$181K
This provider vs. median132×
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 | 90,227 | $4.15M | |
| 2019 | 93,016 | $4.36M | |
| 2020 | 77,814 | $3.45M | |
| 2021 | 61,804 | $3.35M | |
| 2022 | 55,654 | $3.33M | |
| 2023 | 50,988 | $3.04M | |
| 2024incomplete | 36,962 | $2.26M |
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 | 63% | 238,548 | 221,230 | $15.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 101,736 | 94,533 | $4.75M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 22,720 | 22,023 | $796K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 10,070 | 9,482 | $739K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 7,075 | 6,961 | $552K |
| 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 | 1.7% | 4,125 | 3,943 | $410K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 3,724 | 3,674 | $289K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14,804 | 13,939 | $202K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,550 | 9,238 | $177K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,457 | 1,388 | $136K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,419 | 1,407 | $122K |
| 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% | 1,526 | 1,462 | $102K |
88 more codes
| 90461 | <1% | 2,684 | $68K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,345 | $60K |
| 0002A | <1% | 2,049 | $53K | |
| 90686 | <1% | 8,905 | $52K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 461 | $43K |
| 0001A | <1% | 2,385 | $41K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,100 | $40K |
| 99385 | <1% | 227 | $23K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,249 | $18K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 192 | $18K |
| 99381 | <1% | 176 | $14K | |
| 90674 | <1% | 390 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 271 | $8K |
| 92551 | <1% | 1,509 | $8K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 17 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 280 | $6K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 12 | $5K |
| 92552 | <1% | 361 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 265 | $3K |
| 99173 | <1% | 1,942 | $3K | |
| 99383 | <1% | 28 | $2K | |
| 0071A | <1% | 24 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 234 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 145 | $2K |
| 99386 | <1% | 12 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 0011A | <1% | 45 | $1K | |
| 0012A | <1% | 34 | $1K | |
| 99442 | <1% | 33 | $1K | |
| 99460 | <1% | 17 | $1K | |
| 99384 | <1% | 12 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 403 | $979.33 |
| 99401 | <1% | 31 | $912.44 | |
| 96127 | <1% | 210 | $783.71 | |
| 90715 | <1% | 39 | $728.23 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $703.10 |
| 99494 | <1% | 12 | $672.17 | |
| 92587 | <1% | 87 | $588.58 | |
| 90670 | <1% | 3,957 | $576.08 | |
| 99174 | <1% | 131 | $564.13 | |
| 90474 | <1% | 34 | $496.79 | |
| 96161 | <1% | 135 | $392.52 | |
| 99462 | <1% | 14 | $379.33 | |
| 88720 | <1% | 79 | $259.50 | |
| 90473 | <1% | 14 | $237.89 | |
| 90656 | <1% | 12 | $219.15 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $206.49 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 48 | $191.84 |
| 94664 | <1% | 12 | $175.23 | |
| 87807 | <1% | 12 | $159.97 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 81 | $104.63 |
| 90662 | <1% | 16 | $93.16 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 63 | $86.57 |
| 81003 | <1% | 14 | $29.48 | |
| 90744 | <1% | 815 | $23.00 | |
| 90698 | <1% | 2,658 | $18.07 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $13.86 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $13.18 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 102 | $13.04 |
| 99499 | <1% | 1,059 | $6.79 | |
| 1160F | <1% | 887 | $1.17 | |
| 1159F | <1% | 720 | $0.95 | |
| 1111F | <1% | 688 | $0.90 | |
| 3074F | <1% | 351 | $0.42 | |
| 1170F | <1% | 230 | $0.28 | |
| 3078F | <1% | 111 | $0.19 | |
| 91300 | <1% | 2,121 | $0.01 | |
| 90621 | 0% | 27 | $0.00 | |
| 90685 | 0% | 954 | $0.00 | |
| 90633 | 0% | 472 | $0.00 | |
| 90713 | 0% | 20 | $0.00 | |
| 90707 | 0% | 30 | $0.00 | |
| 90734 | 0% | 219 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90648 | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 90651 | 0% | 429 | $0.00 | |
| Q0247 | Injection, sotrovimab, 500 mg | 0% | 12 | $0.00 |
| 90680 | 0% | 1,578 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| 90647 | 0% | 22 | $0.00 | |
| 3072F | 0% | 52 | $0.00 | |
| 36416 | 0% | 41 | $0.00 | |
| 91301 | 0% | 23 | $0.00 | |
| 99000 | 0% | 22 | $0.00 | |
| 90688 | 0% | 22 | $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.