Medicaid Provider Spending

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

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

NPI: 1417238908 · PHOENIX, AZ 85012 · Primary Care Clinic/Center · NPI assigned 08/29/2011

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

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

$23.95M
Total Medicaid Paid
466,465
Total Claims
435,591
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date08/29/2011

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
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 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
2024 36,962 $2.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 238,548 221,230 $15.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 101,736 94,533 $4.75M
90460 Immunization administration through 18 years of age via any route, first or only component 22,720 22,023 $796K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,070 9,482 $739K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,075 6,961 $552K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,125 3,943 $410K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,724 3,674 $289K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14,804 13,939 $202K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,550 9,238 $177K
99215 Prolong outpt/office vis 1,457 1,388 $136K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,419 1,407 $122K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,526 1,462 $102K
90461 2,684 2,515 $68K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,345 4,151 $60K
0002A 2,049 2,028 $53K
90686 8,905 8,085 $52K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 461 445 $43K
0001A 2,385 2,355 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,100 2,047 $40K
99385 227 224 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,249 945 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 192 188 $18K
99381 176 174 $14K
90674 390 384 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 271 256 $8K
92551 1,509 1,427 $8K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 17 17 $8K
90472 Immunization administration, each additional vaccine (list separately) 280 252 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 12 12 $5K
92552 361 355 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 265 211 $3K
99173 1,942 1,844 $3K
99383 28 28 $2K
0071A 24 24 $2K
83036 Hemoglobin; glycosylated (A1C) 234 230 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 145 127 $2K
99386 12 12 $2K
99238 Hospital discharge day management, 30 minutes or less 27 25 $1K
0011A 45 45 $1K
0012A 34 34 $1K
99442 33 31 $1K
99460 17 16 $1K
99384 12 12 $1K
36415 Collection of venous blood by venipuncture 403 387 $979.33
99401 31 31 $912.44
96127 210 184 $783.71
90715 39 38 $728.23
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 12 $703.10
99494 12 12 $672.17
92587 87 60 $588.58
90670 3,957 3,660 $576.08
99174 131 124 $564.13
90474 34 32 $496.79
96161 135 108 $392.52
99462 14 13 $379.33
88720 79 67 $259.50
90473 14 14 $237.89
90656 12 12 $219.15
71046 Radiologic examination, chest; 2 views 13 13 $206.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 48 26 $191.84
94664 12 12 $175.23
87807 12 12 $159.97
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 81 71 $104.63
90662 16 12 $93.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 63 50 $86.57
81003 14 12 $29.48
90744 815 765 $23.00
90698 2,658 2,462 $18.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 14 $13.86
G0008 Administration of influenza virus vaccine 17 13 $13.18
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 102 89 $13.04
99499 1,059 978 $6.79
1160F 887 813 $1.17
1159F 720 664 $0.95
1111F 688 642 $0.90
3074F 351 329 $0.42
1170F 230 210 $0.28
3078F 111 102 $0.19
91300 2,121 1,951 $0.01
90621 27 27 $0.00
90685 954 910 $0.00
90633 472 453 $0.00
90713 20 16 $0.00
90707 30 28 $0.00
90734 219 212 $0.00
90700 38 30 $0.00
90710 30 25 $0.00
90648 15 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 14 $0.00
90651 429 410 $0.00
Q0247 Injection, sotrovimab, 500 mg 12 12 $0.00
90680 1,578 1,449 $0.00
90696 29 24 $0.00
90716 27 27 $0.00
90647 22 18 $0.00
3072F 52 52 $0.00
36416 41 34 $0.00
91301 23 20 $0.00
99000 22 22 $0.00
90688 22 22 $0.00